Provider Demographics
NPI:1104627637
Name:MCCLEOD, RAIN (CD, PCD)
Entity type:Individual
Prefix:MS
First Name:RAIN
Middle Name:
Last Name:MCCLEOD
Suffix:
Gender:
Credentials:CD, PCD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:159 N VECINO DR
Mailing Address - Street 2:
Mailing Address - City:COVINA
Mailing Address - State:CA
Mailing Address - Zip Code:91723-2327
Mailing Address - Country:US
Mailing Address - Phone:323-762-0143
Mailing Address - Fax:
Practice Address - Street 1:159 N VECINO DR
Practice Address - Street 2:
Practice Address - City:COVINA
Practice Address - State:CA
Practice Address - Zip Code:91723-2327
Practice Address - Country:US
Practice Address - Phone:323-762-0143
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-03-21
Last Update Date:2025-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA374J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula