Provider Demographics
NPI:1912046012
Name:RANCHO RESEARCH INSTITUTE
Entity type:Organization
Organization Name:RANCHO RESEARCH INSTITUTE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:PHILIP
Authorized Official - Middle Name:SANTOS
Authorized Official - Last Name:REQUEJO
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:562-385-8111
Mailing Address - Street 1:PO BOX 3500
Mailing Address - Street 2:
Mailing Address - City:DOWNEY
Mailing Address - State:CA
Mailing Address - Zip Code:90242-3500
Mailing Address - Country:US
Mailing Address - Phone:562-401-8115
Mailing Address - Fax:
Practice Address - Street 1:7601 IMPERIAL HWY
Practice Address - Street 2:
Practice Address - City:DOWNEY
Practice Address - State:CA
Practice Address - Zip Code:90242-3456
Practice Address - Country:US
Practice Address - Phone:562-401-8115
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-05
Last Update Date:2025-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes335E00000XSuppliersProsthetic/Orthotic Supplier
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAZZZ83733ZOtherBLUE SHIELD
CAZZZ83733ZOtherBLUE SHIELD