Provider Demographics
NPI:1750738613
Name:RMS CHERUBIM HEALTH CARE SERVICES, INC
Entity type:Organization
Organization Name:RMS CHERUBIM HEALTH CARE SERVICES, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:RELYNDO
Authorized Official - Middle Name:MANALO
Authorized Official - Last Name:SALCEDO
Authorized Official - Suffix:
Authorized Official - Credentials:DNP
Authorized Official - Phone:909-587-9040
Mailing Address - Street 1:PO BOX 394
Mailing Address - Street 2:
Mailing Address - City:FONTANA
Mailing Address - State:CA
Mailing Address - Zip Code:92334-0394
Mailing Address - Country:US
Mailing Address - Phone:909-587-9040
Mailing Address - Fax:888-818-7091
Practice Address - Street 1:8350 ARCHIBALD AVE STE 230
Practice Address - Street 2:
Practice Address - City:RANCHO CUCAMONGA
Practice Address - State:CA
Practice Address - Zip Code:91730-3672
Practice Address - Country:US
Practice Address - Phone:909-587-9040
Practice Address - Fax:888-818-7091
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-05-20
Last Update Date:2016-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA21547363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Single Specialty