Provider Demographics
NPI:1083631535
Name:RICE, CATHERINE H (MD)
Entity Type:Individual
Prefix:DR
First Name:CATHERINE
Middle Name:H
Last Name:RICE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:PO BOX 7096
Mailing Address - Street 2:
Mailing Address - City:STOCKTON
Mailing Address - State:CA
Mailing Address - Zip Code:95267-0096
Mailing Address - Country:US
Mailing Address - Phone:209-956-7725
Mailing Address - Fax:209-956-7733
Practice Address - Street 1:12567 HESPERIA BLVD
Practice Address - Street 2:
Practice Address - City:VICTORVILLE
Practice Address - State:CA
Practice Address - Zip Code:92395-5847
Practice Address - Country:US
Practice Address - Phone:760-241-7754
Practice Address - Fax:760-962-9837
Is Sole Proprietor?:No
Enumeration Date:2006-07-17
Last Update Date:2013-07-22
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CAG51559207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
A52026Medicare UPIN
CA00G515591Medicare PIN
CAP00179711Medicare PIN
CA00G515590Medicare PIN