Healthcare Provider Details

I. General information

NPI: 1053924456
Provider Name (Legal Business Name): RMD SERVICES INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/25/2020
Last Update Date: 11/24/2020
Certification Date: 11/24/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4612 BELLE DR
ANTIOCH CA
94509-4312
US

IV. Provider business mailing address

3302 AEGEAN WAY
SAN BRUNO CA
94066-4551
US

V. Phone/Fax

Practice location:
  • Phone: 925-706-8130
  • Fax: 888-959-3653
Mailing address:
  • Phone: 650-580-1914
  • Fax: 888-959-3653

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code315P00000X
TaxonomyIntellectual Disabilities Intermediate Care Facility
License Number
License Number State

VIII. Authorized Official

Name: MISS MELANIE ANN MALLARI PADERNA
Title or Position: SECRETARY
Credential:
Phone: 650-580-1914