Provider Demographics
NPI:1548957871
Name:MORGAN, RACHAEL TAYLOR (PA-C)
Entity type:Individual
Prefix:
First Name:RACHAEL
Middle Name:TAYLOR
Last Name:MORGAN
Suffix:
Gender:F
Credentials:PA-C
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Other - Credentials:
Mailing Address - Street 1:366 SHASTA AVE
Mailing Address - Street 2:
Mailing Address - City:MORRO BAY
Mailing Address - State:CA
Mailing Address - Zip Code:93442-2736
Mailing Address - Country:US
Mailing Address - Phone:530-262-8999
Mailing Address - Fax:
Practice Address - Street 1:7330 EL CAMINO REAL
Practice Address - Street 2:
Practice Address - City:ATASCADERO
Practice Address - State:CA
Practice Address - Zip Code:93422-4629
Practice Address - Country:US
Practice Address - Phone:805-703-2501
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-04-18
Last Update Date:2024-11-15
Deactivation Date:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant