Provider Demographics
NPI:1033297072
Name:RHYNE, DENNIS ALFRED (MD)
Entity Type:Individual
Prefix:
First Name:DENNIS
Middle Name:ALFRED
Last Name:RHYNE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:24411 HEALTH CENTER DRIVE
Mailing Address - Street 2:SUITE 420
Mailing Address - City:LAGUNA HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:92653
Mailing Address - Country:US
Mailing Address - Phone:949-452-3825
Mailing Address - Fax:949-455-1225
Practice Address - Street 1:24411 HEALTH CENTER DRIVE
Practice Address - Street 2:SUITE 420
Practice Address - City:LAGUNA HILLS
Practice Address - State:CA
Practice Address - Zip Code:92653
Practice Address - Country:US
Practice Address - Phone:949-452-3825
Practice Address - Fax:949-455-1225
Is Sole Proprietor?:No
Enumeration Date:2006-11-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG18948207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00G189480Medicaid
G18948Medicare ID - Type Unspecified
CA00G189480Medicaid