Provider Demographics
NPI:1639368558
Name:RACHEL LANGLAND MD PC
Entity Type:Organization
Organization Name:RACHEL LANGLAND MD PC
Other - Org Name:WEST VALLEY FAMILY PHYSICIANS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:RACHEL
Authorized Official - Middle Name:
Authorized Official - Last Name:LANGLAND
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:623-247-3727
Mailing Address - Street 1:UNKNOWN
Mailing Address - Street 2:
Mailing Address - City:UNKNOWN
Mailing Address - State:UNKNOWN
Mailing Address - Zip Code:UNKNOWN
Mailing Address - Country:AU
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:UNKNOWN
Practice Address - Street 2:
Practice Address - City:UNKNOWN
Practice Address - State:UNKNOWN
Practice Address - Zip Code:UNKNOWN
Practice Address - Country:AU
Practice Address - Phone:623-535-9440
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-10-16
Last Update Date:2009-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ29531207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ596968Medicaid
AZZ71695Medicare PIN