Provider Demographics
NPI:1154035384
Name:FELIPE, RACHEL JOYCE DILLA
Entity type:Individual
Prefix:
First Name:RACHEL JOYCE
Middle Name:DILLA
Last Name:FELIPE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15353 WEDDINGTON ST APT D223
Mailing Address - Street 2:
Mailing Address - City:SHERMAN OAKS
Mailing Address - State:CA
Mailing Address - Zip Code:91411-3854
Mailing Address - Country:US
Mailing Address - Phone:714-858-2142
Mailing Address - Fax:
Practice Address - Street 1:15353 WEDDINGTON ST APT D223
Practice Address - Street 2:
Practice Address - City:SHERMAN OAKS
Practice Address - State:CA
Practice Address - Zip Code:91411-3854
Practice Address - Country:US
Practice Address - Phone:714-858-2142
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-01-11
Last Update Date:2023-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL209025498363LA2100X
CA95022321363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care