Rebecca Chivatakarn, NP
Nurse Practitioner, Family in La Jolla, CA. Individual provider (NPI-1).
NPI number1982203097
StatusActive
Last updated in NPPESJul 17, 2026
Details
- NPI
- 1982203097
- Entity type
- Individual (NPI-1)
- Name
- Ms. Rebecca Chivatakarn
- Credential
- NP
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Oct 20, 2020
- Certification date
- Jul 17, 2026
- Last updated
- Jul 17, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | 95015597 | CA | Yes |
Practice location
6505 La Jolla Blvd Ste 4La Jolla, CA 92037
Phone 619-500-6262
Mailing address
6505 La Jolla Blvd Ste 4La Jolla, CA 92037-6016
Phone 619-500-6262
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