Provider Demographics
NPI:1548437809
Name:KRAUSE, RACHAEL I (MD)
Entity type:Individual
Prefix:
First Name:RACHAEL
Middle Name:I
Last Name:KRAUSE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:MS
Other - First Name:RACHAEL
Other - Middle Name:I
Other - Last Name:ZWEIG
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:17100 EUCLID STREET
Mailing Address - Street 2:PICU/PEDS DEPARTMENT
Mailing Address - City:FOUNTAIN VALLEY
Mailing Address - State:CA
Mailing Address - Zip Code:92708
Mailing Address - Country:US
Mailing Address - Phone:714-966-7253
Mailing Address - Fax:714-966-3354
Practice Address - Street 1:17100 EUCLID STREET
Practice Address - Street 2:PICU/PEDS DEPARTMENT
Practice Address - City:FOUNTAIN VALLEY
Practice Address - State:CA
Practice Address - Zip Code:92708
Practice Address - Country:US
Practice Address - Phone:714-966-7253
Practice Address - Fax:714-966-3354
Is Sole Proprietor?:No
Enumeration Date:2008-05-14
Last Update Date:2018-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA102002208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics