Provider Demographics
NPI:1497029045
Name:RAINBOW MEDICAL CORPORATION
Entity Type:Organization
Organization Name:RAINBOW MEDICAL CORPORATION
Other - Org Name:FRANKLIN PERRY, MD
Other - Org Type:Other Name
Authorized Official - Title/Position:PHYSICIAN/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:FRANKLIN
Authorized Official - Middle Name:
Authorized Official - Last Name:PERRY
Authorized Official - Suffix:
Authorized Official - Credentials:M D
Authorized Official - Phone:650-330-3688
Mailing Address - Street 1:2175 PARK BLVD
Mailing Address - Street 2:
Mailing Address - City:PALO ALTO
Mailing Address - State:CA
Mailing Address - Zip Code:94306-1543
Mailing Address - Country:US
Mailing Address - Phone:650-330-3688
Mailing Address - Fax:650-330-3686
Practice Address - Street 1:2175 PARK BLVD
Practice Address - Street 2:
Practice Address - City:PALO ALTO
Practice Address - State:CA
Practice Address - Zip Code:94306-1543
Practice Address - Country:US
Practice Address - Phone:650-330-3688
Practice Address - Fax:650-330-3686
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-02-29
Last Update Date:2012-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG75288207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty