Provider Demographics
NPI:1518038181
Name:RIFKIND, PATRICE ANGELIQUE
Entity Type:Individual
Prefix:
First Name:PATRICE
Middle Name:ANGELIQUE
Last Name:RIFKIND
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 1:25425 ORCHARD VILLAGE ROAD
Mailing Address - Street 2:SUITE 220
Mailing Address - City:SANTA CLARITA
Mailing Address - State:CA
Mailing Address - Zip Code:91355-2935
Mailing Address - Country:US
Mailing Address - Phone:661-288-1400
Mailing Address - Fax:661-288-1490
Practice Address - Street 1:25425 ORCHARD VILLAGE ROAD
Practice Address - Street 2:SUITE 220
Practice Address - City:SANTA CLARITA
Practice Address - State:CA
Practice Address - Zip Code:91355-2935
Practice Address - Country:US
Practice Address - Phone:661-284-1900
Practice Address - Fax:661-288-1490
Is Sole Proprietor?:No
Enumeration Date:2006-11-13
Last Update Date:2022-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA237600000X237600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid Fitter
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAAU1663OtherSTATE AUDIOLOGY LICENSE