Provider Demographics
NPI:1639449135
Name:EMILY REKUC D.O., INC.
Entity Type:Organization
Organization Name:EMILY REKUC D.O., INC.
Other - Org Name:CARING FOR WOMEN
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:EMILY
Authorized Official - Middle Name:K
Authorized Official - Last Name:REKUC
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:760-777-4067
Mailing Address - Street 1:PO BOX 6702
Mailing Address - Street 2:
Mailing Address - City:LA QUINTA
Mailing Address - State:CA
Mailing Address - Zip Code:92248-6702
Mailing Address - Country:US
Mailing Address - Phone:760-777-4067
Mailing Address - Fax:760-777-4096
Practice Address - Street 1:79440 HIGHWAY 111 STE 105
Practice Address - Street 2:
Practice Address - City:LA QUINTA
Practice Address - State:CA
Practice Address - Zip Code:92253-4500
Practice Address - Country:US
Practice Address - Phone:760-777-4067
Practice Address - Fax:760-777-4096
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-12-31
Last Update Date:2019-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA20A11655207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAFU284AMedicare PIN