Provider Demographics
NPI:1023631850
Name:PIA, MARIA RACHEL GATCHALIAN
Entity type:Individual
Prefix:
First Name:MARIA RACHEL
Middle Name:GATCHALIAN
Last Name:PIA
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 1:68 STOCKTON DR
Mailing Address - Street 2:
Mailing Address - City:BUENA PARK
Mailing Address - State:CA
Mailing Address - Zip Code:90621-8440
Mailing Address - Country:US
Mailing Address - Phone:626-475-3631
Mailing Address - Fax:
Practice Address - Street 1:68 STOCKTON DR
Practice Address - Street 2:
Practice Address - City:BUENA PARK
Practice Address - State:CA
Practice Address - Zip Code:90621-8440
Practice Address - Country:US
Practice Address - Phone:626-475-3631
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-05-27
Last Update Date:2020-05-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA693966163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse