Individual
RACHAEL MACIASZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2336 SANTA MONICA BLVD STE 301, SANTA MONICA, CA 90404-2067
(310) 998-9118
(310) 829-9318
Mailing address
5767 W CENTURY BLVD STE 400, LOS ANGELES, CA 90045-5631
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
A150059
CA
208000000X
Pediatrics Physician
LP02837
RI
208M00000X
Hospitalist Physician
Primary
A150059
CA
Other
Enumeration date
05/30/2013
Last updated
09/04/2019
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