Provider Demographics
NPI:1619070661
Name:RINOIE, CHUGO EDDIE (DPM)
Entity Type:Individual
Prefix:MR
First Name:CHUGO
Middle Name:EDDIE
Last Name:RINOIE
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:301 W HUNTINGTON DR
Mailing Address - Street 2:#300
Mailing Address - City:ARCADIA
Mailing Address - State:CA
Mailing Address - Zip Code:91007
Mailing Address - Country:US
Mailing Address - Phone:626-821-9323
Mailing Address - Fax:626-821-9325
Practice Address - Street 1:301 W HUNTINGTON DR
Practice Address - Street 2:#300
Practice Address - City:ARCADIA
Practice Address - State:CA
Practice Address - Zip Code:91007
Practice Address - Country:US
Practice Address - Phone:626-821-9323
Practice Address - Fax:626-821-9325
Is Sole Proprietor?:No
Enumeration Date:2006-09-06
Last Update Date:2011-11-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAE3941213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA000E39410Medicaid
U50704Medicare UPIN
CAE3941CMedicare ID - Type Unspecified