Provider Demographics
NPI:1013270065
Name:JANICE RHA, MD PC
Entity Type:Organization
Organization Name:JANICE RHA, MD PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JANICE
Authorized Official - Middle Name:J
Authorized Official - Last Name:RHA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:626-227-2777
Mailing Address - Street 1:520 S HELBERTA AVE
Mailing Address - Street 2:
Mailing Address - City:REDONDO BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:90277-4353
Mailing Address - Country:US
Mailing Address - Phone:626-227-2777
Mailing Address - Fax:626-227-2747
Practice Address - Street 1:707 S GARFIELD AVE
Practice Address - Street 2:SUITE B002
Practice Address - City:ALHAMBRA
Practice Address - State:CA
Practice Address - Zip Code:91801-5859
Practice Address - Country:US
Practice Address - Phone:626-227-2777
Practice Address - Fax:626-227-2747
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-06-22
Last Update Date:2013-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG671302085R0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2085R0001XAllopathic & Osteopathic PhysiciansRadiologyRadiation OncologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00G671300Medicaid