Provider Demographics
NPI:1912248782
Name:RAINCROSS WOMENS MEDICAL GROUP CORP INC
Entity Type:Organization
Organization Name:RAINCROSS WOMENS MEDICAL GROUP CORP INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:ALONSO
Authorized Official - Middle Name:R
Authorized Official - Last Name:OJEDA
Authorized Official - Suffix:
Authorized Official - Credentials:M D
Authorized Official - Phone:951-823-0441
Mailing Address - Street 1:6767 BROCKTON AVE
Mailing Address - Street 2:
Mailing Address - City:RIVERSIDE
Mailing Address - State:CA
Mailing Address - Zip Code:92506-3023
Mailing Address - Country:US
Mailing Address - Phone:951-823-0441
Mailing Address - Fax:951-823-0448
Practice Address - Street 1:6767 BROCKTON AVE
Practice Address - Street 2:
Practice Address - City:RIVERSIDE
Practice Address - State:CA
Practice Address - Zip Code:92506-3023
Practice Address - Country:US
Practice Address - Phone:951-823-0441
Practice Address - Fax:951-823-0448
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-03-04
Last Update Date:2019-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty