Provider Demographics
NPI:1023437415
Name:OKSUN, RACHEL O (CNS)
Entity type:Individual
Prefix:
First Name:RACHEL
Middle Name:O
Last Name:OKSUN
Suffix:
Gender:F
Credentials:CNS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14627 GLEDHILL ST
Mailing Address - Street 2:# 9
Mailing Address - City:PANORAMA CITY
Mailing Address - State:CA
Mailing Address - Zip Code:91402-1284
Mailing Address - Country:US
Mailing Address - Phone:818-618-7646
Mailing Address - Fax:
Practice Address - Street 1:14627 GLEDHILL ST
Practice Address - Street 2:# 9
Practice Address - City:PANORAMA CITY
Practice Address - State:CA
Practice Address - Zip Code:91402-1284
Practice Address - Country:US
Practice Address - Phone:818-618-7646
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-04-14
Last Update Date:2014-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA4122163WG0600X
CA734299163WH0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WG0600XNursing Service ProvidersRegistered NurseGerontology
No163WH0200XNursing Service ProvidersRegistered NurseHome Health