Organization
RMVR 8 INC
Active
Other names
rainbow childrens clinic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RAOUL DEL MAR MD (CEO)
(916) 771-5533
Entity
Organization
Contact information
Practice address
6508 LONETREE BLVD, SUITE 103, ROCKLIN, CA 95765-5885
(916) 771-5533
Mailing address
6508 LONETREE BLVD, SUITE 103, ROCKLIN, CA 95765-5885
(916) 771-5533
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
A89166
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
OTH000
UPIN
CA
Enumeration date
04/08/2010
Last updated
04/08/2010
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