Provider Demographics
NPI:1285037358
Name:KALTER, RACHEL (PA-C)
Entity Type:Individual
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First Name:RACHEL
Middle Name:
Last Name:KALTER
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Gender:F
Credentials:PA-C
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Mailing Address - Street 1:12665 GARDEN GROVE BLVD
Mailing Address - Street 2:SUITE 502-A
Mailing Address - City:GARDEN GROVE
Mailing Address - State:CA
Mailing Address - Zip Code:92843-1901
Mailing Address - Country:US
Mailing Address - Phone:714-537-7800
Mailing Address - Fax:714-537-7633
Practice Address - Street 1:12665 GARDEN GROVE BLVD
Practice Address - Street 2:SUITE 502-A
Practice Address - City:GARDEN GROVE
Practice Address - State:CA
Practice Address - Zip Code:92843-1901
Practice Address - Country:US
Practice Address - Phone:714-537-7800
Practice Address - Fax:714-537-7633
Is Sole Proprietor?:No
Enumeration Date:2014-10-03
Last Update Date:2015-04-21
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Provider Licenses
StateLicense IDTaxonomies
CA51987363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant