Provider Demographics
NPI:1497014955
Name:WINER, RACHEL A (MD)
Entity Type:Individual
Prefix:
First Name:RACHEL
Middle Name:A
Last Name:WINER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:4370 ALPINE RD STE 203
Mailing Address - Street 2:
Mailing Address - City:PORTOLA VALLEY
Mailing Address - State:CA
Mailing Address - Zip Code:94028-7953
Mailing Address - Country:US
Mailing Address - Phone:650-434-0017
Mailing Address - Fax:844-480-1757
Practice Address - Street 1:4370 ALPINE RD STE 203
Practice Address - Street 2:
Practice Address - City:PORTOLA VALLEY
Practice Address - State:CA
Practice Address - Zip Code:94028-7953
Practice Address - Country:US
Practice Address - Phone:650-434-0017
Practice Address - Fax:844-480-1757
Is Sole Proprietor?:No
Enumeration Date:2012-05-03
Last Update Date:2016-05-26
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CA1266932084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry