Provider Demographics
NPI:1043331820
Name:CHUGO E. RINOIE DPM CORP.
Entity Type:Organization
Organization Name:CHUGO E. RINOIE DPM CORP.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SOLE OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CHUGO
Authorized Official - Middle Name:EDDIE
Authorized Official - Last Name:RINOIE
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:626-821-9323
Mailing Address - Street 1:301 W HUNTINGTON DR STE 300
Mailing Address - Street 2:
Mailing Address - City:ARCADIA
Mailing Address - State:CA
Mailing Address - Zip Code:91007-1527
Mailing Address - Country:US
Mailing Address - Phone:626-821-9323
Mailing Address - Fax:626-821-9325
Practice Address - Street 1:301 W HUNTINGTON DR STE 300
Practice Address - Street 2:
Practice Address - City:ARCADIA
Practice Address - State:CA
Practice Address - Zip Code:91007-1527
Practice Address - Country:US
Practice Address - Phone:626-821-9323
Practice Address - Fax:626-821-9325
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-02
Last Update Date:2012-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAE3941213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle SurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA5995100001Medicare NSC