Individual provider · Type 1 NPI

Destiny Rae Razo

Rehabilitation Practitioner · Los Banos, CA

NPI number 1114602075 Active

Practice location

40 W G St
Los Banos, CA 93635-3657

Call (209) 381-6800 Map

Fax (209) 725-3963

Mailing address

545 M St
Los Banos, CA 93635-4234

Specialties and licenses

TaxonomyCodeLicense
Case Manager/Care Coordinator 171M00000XNone listed
Rehabilitation Practitioner Primary 225400000XNone listed

Rehabilitation Practitioner: A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity.

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About NPI 1114602075

Destiny Rae Razo's National Provider Identifier is 1114602075, issued on Jun 19, 2023. The primary taxonomy on file is Rehabilitation Practitioner (225400000X), and the practice location is in Los Banos, CA. The record was last updated on Jun 9, 2025.