Provider Demographics
NPI:1962539957
Name:ALMOG, REBECCA E (MSN, NP)
Entity type:Individual
Prefix:MS
First Name:REBECCA
Middle Name:E
Last Name:ALMOG
Suffix:
Gender:F
Credentials:MSN, NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9728 KEENELAND ROW
Mailing Address - Street 2:
Mailing Address - City:LA JOLLA
Mailing Address - State:CA
Mailing Address - Zip Code:92037-1168
Mailing Address - Country:US
Mailing Address - Phone:858-750-2576
Mailing Address - Fax:
Practice Address - Street 1:3020 CHILDRENS WAY
Practice Address - Street 2:RADY CHILDREN'S HOSPITAL - OCCUPATIONAL HEALTH & SAFETY
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92123-4223
Practice Address - Country:US
Practice Address - Phone:858-576-1700
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-02-27
Last Update Date:2011-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CARN604895163WP2201X
CANP14996363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WP2201XNursing Service ProvidersRegistered NurseAmbulatory Care
No363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
108944OtherSFGH INTERNAL USE ONLY-COMMERCIAL NUMBER
Q42497Medicare UPIN