Provider Demographics
NPI:1396819454
Name:YUMUL, REBECCA M (RN)
Entity Type:Individual
Prefix:MS
First Name:REBECCA
Middle Name:M
Last Name:YUMUL
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:21901 MONETA AVE UNIT 14
Mailing Address - Street 2:
Mailing Address - City:CARSON
Mailing Address - State:CA
Mailing Address - Zip Code:90745-2853
Mailing Address - Country:US
Mailing Address - Phone:310-328-0340
Mailing Address - Fax:
Practice Address - Street 1:1000 W CARSON ST # D5.5
Practice Address - Street 2:
Practice Address - City:TORRANCE
Practice Address - State:CA
Practice Address - Zip Code:90502-2004
Practice Address - Country:US
Practice Address - Phone:424-306-5708
Practice Address - Fax:310-328-7217
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-20
Last Update Date:2021-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CARN423834163WP0809X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WP0809XNursing Service ProvidersRegistered NursePsychiatric/Mental Health, Adult
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA163WP0808XOtherTAXONOMY CODE