Provider Demographics
NPI:1124203997
Name:RAMBO, CLAIRE NORANI
Entity Type:Individual
Prefix:
First Name:CLAIRE
Middle Name:NORANI
Last Name:RAMBO
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 1:1680 CAMINO OLMO
Mailing Address - Street 2:F
Mailing Address - City:THOUSAND OAKS
Mailing Address - State:CA
Mailing Address - Zip Code:91320-5930
Mailing Address - Country:US
Mailing Address - Phone:206-218-6611
Mailing Address - Fax:
Practice Address - Street 1:890 HAMPSHIRE RD
Practice Address - Street 2:STE S
Practice Address - City:WESTLAKE VILLAGE
Practice Address - State:CA
Practice Address - Zip Code:91361-2812
Practice Address - Country:US
Practice Address - Phone:805-870-5215
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-12-29
Last Update Date:2013-11-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA37607225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist