Basic Information
Provider Information
NPI: 1831720069
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: TAPANG
FirstName: RHEA
MiddleName: SINGSON
NamePrefix:  
NameSuffix:  
Credential: PSYCH NP
OtherOrganizationName:  
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OtherLastName:  
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OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 360 POST ST STE 500
Address2:  
City: SAN FRANCISCO
State: CA
PostalCode: 941084908
CountryCode: US
TelephoneNumber: 8448678444
FaxNumber:  
Practice Location
Address1: 350 UNIVERSITY AVE STE 101
Address2:  
City: SACRAMENTO
State: CA
PostalCode: 958256516
CountryCode: US
TelephoneNumber: 8448678444
FaxNumber:  
Other Information
ProviderEnumerationDate: 01/27/2020
LastUpdateDate: 01/27/2020
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
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AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 01/27/2020

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
363LP0808X95013731CAY Physician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsych/Mental Health

No ID Information.


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