Provider Demographics
NPI:1336673862
Name:RHEIM DERMATOLOGY, INC
Entity Type:Organization
Organization Name:RHEIM DERMATOLOGY, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JOSPEH
Authorized Official - Middle Name:ROCKWELL
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 STE A1
Mailing Address - Street 2:757 PACIFIC STREET SUITE A-1
Mailing Address - City:MONTEREY
Mailing Address - State:CA
Mailing Address - Zip Code:93940-2819
Mailing Address - Country:US
Mailing Address - Phone:831-373-4404
Mailing Address - Fax:831-373-4409
Practice Address - Street 1:757 PACIFIC ST STE A1
Practice Address - Street 2:757 PACIFIC STREET SUITE A-1
Practice Address - City:MONTEREY
Practice Address - State:CA
Practice Address - Zip Code:93940-2819
Practice Address - Country:US
Practice Address - Phone:831-373-4404
Practice Address - Fax:831-373-4409
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-04-11
Last Update Date:2020-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAI15093Medicare UPIN