Provider Demographics
NPI:1144424409
Name:RMVR 8 INC
Entity Type:Organization
Organization Name:RMVR 8 INC
Other - Org Name:RAINBOW CHILDRENS CLINIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:RAOUL
Authorized Official - Middle Name:
Authorized Official - Last Name:DEL MAR
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:916-771-5533
Mailing Address - Street 1:9380 COURTNEY WAY
Mailing Address - Street 2:
Mailing Address - City:ROSEVILLE
Mailing Address - State:CA
Mailing Address - Zip Code:95747-9147
Mailing Address - Country:US
Mailing Address - Phone:916-771-5533
Mailing Address - Fax:
Practice Address - Street 1:6508 LONETREE BLVD
Practice Address - Street 2:SUITE 103
Practice Address - City:ROCKLIN
Practice Address - State:CA
Practice Address - Zip Code:95765
Practice Address - Country:US
Practice Address - Phone:916-771-5533
Practice Address - Fax:916-771-5453
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-12
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA891662080A0000X, 261Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Not Answered2080A0000XAllopathic & Osteopathic PhysiciansPediatricsAdolescent MedicineGroup - Single Specialty
Not Answered261Q00000XAmbulatory Health Care FacilitiesClinic/CenterGroup - Single Specialty