MEDICARE: RUME MEDICAL GROUP, INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QM0855X	Adolescent and Children Mental Health Clinic/Center

General Provider Information

NPI Number	:	1578268983
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	RUME MEDICAL GROUP, INC.

Provider Business Mailing Address
First Line	:	18800 DELAWARE ST STE 800
Second Line	:
City	:	HUNTINGTON BEACH
State	:	CA
Zip	:	92648-6019
Country	:	US
Telephone Number	:	714-916-5210
Fax Number	:	714-916-5494

Provider Business Practice Location Address
First Line	:	18800 DELAWARE ST STE 670
Second Line	:
City	:	HUNTINGTON BEACH
State	:	CA
Zip	:	92648-7605
Country	:	US
Telephone Number	:	714-916-5210
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	DR. MATTHEW WAYNE ABINANTE
Credential	:	DO
Telephone Number	:	714-916-5210

Provider Enumeration Date	:	04/04/2023
Last Update Date	:	04/04/2023

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