Provider Demographics
NPI:1407193501
Name:RAPID RECOVERY HYPERBARICS, LLC
Entity Type:Organization
Organization Name:RAPID RECOVERY HYPERBARICS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:SUSAN
Authorized Official - Middle Name:
Authorized Official - Last Name:RODRIGUEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:909-477-4545
Mailing Address - Street 1:9439 ARCHIBALD AVE STE 104
Mailing Address - Street 2:
Mailing Address - City:RANCHO CUCAMONGA
Mailing Address - State:CA
Mailing Address - Zip Code:91730-7947
Mailing Address - Country:US
Mailing Address - Phone:909-477-4545
Mailing Address - Fax:909-477-4533
Practice Address - Street 1:9439 ARCHIBALD AVE STE 104
Practice Address - Street 2:
Practice Address - City:RANCHO CUCAMONGA
Practice Address - State:CA
Practice Address - Zip Code:91730-7947
Practice Address - Country:US
Practice Address - Phone:909-477-4545
Practice Address - Fax:909-477-4533
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-01-09
Last Update Date:2013-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2083P0011XAllopathic & Osteopathic PhysiciansPreventive MedicineUndersea and Hyperbaric MedicineGroup - Single Specialty