Provider Demographics
NPI:1245610799
Name:LAVIAN, RACHEL (MA)
Entity Type:Individual
Prefix:MRS
First Name:RACHEL
Middle Name:
Last Name:LAVIAN
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:22287 MULHOLLAND HWY
Mailing Address - Street 2:269
Mailing Address - City:CALABASAS
Mailing Address - State:CA
Mailing Address - Zip Code:91302-5157
Mailing Address - Country:US
Mailing Address - Phone:805-500-8378
Mailing Address - Fax:805-500-8378
Practice Address - Street 1:22287 MULHOLLAND HWY
Practice Address - Street 2:269
Practice Address - City:CALABASAS
Practice Address - State:CA
Practice Address - Zip Code:91302-5157
Practice Address - Country:US
Practice Address - Phone:805-500-8378
Practice Address - Fax:805-500-8378
Is Sole Proprietor?:No
Enumeration Date:2015-05-30
Last Update Date:2016-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program