Provider Demographics
NPI:1306841176
Name:RINKER, TEDDE MARIE (DO)
Entity Type:Individual
Prefix:DR
First Name:TEDDE
Middle Name:MARIE
Last Name:RINKER
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1620 UNION AVE
Mailing Address - Street 2:
Mailing Address - City:REDWOOD CITY
Mailing Address - State:CA
Mailing Address - Zip Code:94061-2718
Mailing Address - Country:US
Mailing Address - Phone:650-533-3203
Mailing Address - Fax:650-369-6963
Practice Address - Street 1:5050 EL CAMINO REAL
Practice Address - Street 2:SUITE 110
Practice Address - City:LOS ALTOS
Practice Address - State:CA
Practice Address - Zip Code:94022-1530
Practice Address - Country:US
Practice Address - Phone:650-533-3203
Practice Address - Fax:650-369-6963
Is Sole Proprietor?:Yes
Enumeration Date:2005-06-16
Last Update Date:2013-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA20A47422084P0800X, 2084P0804X, 208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
No2084P0804XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyChild & Adolescent Psychiatry
No208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice