Provider Demographics
NPI:1891781100
Name:RHEIM, JOSEPH ROCKWELL (MD)
Entity Type:Individual
Prefix:MR
First Name:JOSEPH
Middle Name:ROCKWELL
Last Name:RHEIM
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:757 PACIFIC ST
Mailing Address - Street 2:SUITE A-1
Mailing Address - City:MONTEREY
Mailing Address - State:CA
Mailing Address - Zip Code:93940-2115
Mailing Address - Country:US
Mailing Address - Phone:831-373-4404
Mailing Address - Fax:831-373-4409
Practice Address - Street 1:757 PACIFIC ST
Practice Address - Street 2:SUITE A-1
Practice Address - City:MONTEREY
Practice Address - State:CA
Practice Address - Zip Code:93940-2115
Practice Address - Country:US
Practice Address - Phone:831-373-4404
Practice Address - Fax:831-373-4409
Is Sole Proprietor?:No
Enumeration Date:2005-09-22
Last Update Date:2014-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA86800207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
I15093Medicare UPIN