Provider Demographics
NPI:1376751628
Name:RINKER, JORDAN (MD, MPH)
Entity Type:Individual
Prefix:
First Name:JORDAN
Middle Name:
Last Name:RINKER
Suffix:
Gender:M
Credentials:MD, MPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 194
Mailing Address - Street 2:
Mailing Address - City:CORTE MADERA
Mailing Address - State:CA
Mailing Address - Zip Code:94976-0194
Mailing Address - Country:US
Mailing Address - Phone:415-924-1990
Mailing Address - Fax:415-924-1992
Practice Address - Street 1:165 SUMMIT DR
Practice Address - Street 2:
Practice Address - City:CORTE MADERA
Practice Address - State:CA
Practice Address - Zip Code:94925-1360
Practice Address - Country:US
Practice Address - Phone:415-924-1990
Practice Address - Fax:415-924-1992
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-18
Last Update Date:2007-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG608292083X0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2083X0100XAllopathic & Osteopathic PhysiciansPreventive MedicineOccupational Medicine