Provider Demographics
NPI:1548868409
Name:RAPHA EXPRESS
Entity type:Organization
Organization Name:RAPHA EXPRESS
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PULMONARY FUNCTION TECHNOLOGIST
Authorized Official - Prefix:MR
Authorized Official - First Name:ATIEN
Authorized Official - Middle Name:MARIUS
Authorized Official - Last Name:KOUASSI
Authorized Official - Suffix:
Authorized Official - Credentials:RRT, CPFT
Authorized Official - Phone:916-248-1026
Mailing Address - Street 1:5366 KANKAKEE DR
Mailing Address - Street 2:
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95835-3058
Mailing Address - Country:US
Mailing Address - Phone:916-248-1026
Mailing Address - Fax:
Practice Address - Street 1:5366 KANKAKEE DR
Practice Address - Street 2:
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95835-3058
Practice Address - Country:US
Practice Address - Phone:916-248-1026
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-10-13
Last Update Date:2023-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes253Z00000XAgenciesIn Home Supportive Care
No225B00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPulmonary Function TechnologistGroup - Multi-Specialty
No227900000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRespiratory Therapist, RegisteredGroup - Multi-Specialty
Yes2278P1006XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRespiratory Therapist, CertifiedPulmonary Function TechnologistGroup - Multi-Specialty