Provider Demographics
NPI:1750443057
Name:JAMES RHEIM MD INC
Entity Type:Organization
Organization Name:JAMES RHEIM MD INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:
Authorized Official - Last Name:RHEIM
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:831-373-4404
Mailing Address - Street 1:757 PACIFIC ST
Mailing Address - Street 2:SUITE A1
Mailing Address - City:MONTEREY
Mailing Address - State:CA
Mailing Address - Zip Code:93940
Mailing Address - Country:US
Mailing Address - Phone:831-373-4404
Mailing Address - Fax:831-373-5199
Practice Address - Street 1:757 PACIFIC ST
Practice Address - Street 2:SUITE A1
Practice Address - City:MONTEREY
Practice Address - State:CA
Practice Address - Zip Code:93940
Practice Address - Country:US
Practice Address - Phone:831-373-4404
Practice Address - Fax:831-373-5199
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-14
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA86800207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
A35321Medicare UPIN