Provider Demographics
NPI:1790776300
Name:RHEE, LAILA E (MS)
Entity Type:Individual
Prefix:MS
First Name:LAILA
Middle Name:E
Last Name:RHEE
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:LAILA
Other - Middle Name:R
Other - Last Name:MORRIS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS
Mailing Address - Street 1:4860 Y ST
Mailing Address - Street 2:SUITE 2500
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95817-2307
Mailing Address - Country:US
Mailing Address - Phone:916-734-6124
Mailing Address - Fax:916-703-5279
Practice Address - Street 1:4860 Y ST # 2500
Practice Address - Street 2:
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95817-2307
Practice Address - Country:US
Practice Address - Phone:916-734-6124
Practice Address - Fax:916-703-5279
Is Sole Proprietor?:No
Enumeration Date:2005-11-02
Last Update Date:2022-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA170300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes170300000XOther Service ProvidersGenetic Counselor, MS
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAGC000120OtherDEPARTMENT OF PUBLIC HEALTH
93124OtherABGC CERTIFICATION NUMBER