Healthcare Provider Details

I. General information

NPI: 1780505677
Provider Name (Legal Business Name): RONALD STANLEY REMBISZ PH.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/24/2026
Last Update Date: 07/24/2026
Certification Date: 07/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

253 LOBOS ST
CARMEL BY THE SEA CA
93921
US

IV. Provider business mailing address

PO BOX 3566
CARMEL BY THE SEA CA
93921-3566
US

V. Phone/Fax

Practice location:
  • Phone: 619-254-7200
  • Fax:
Mailing address:
  • Phone: 619-254-7200
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number5862
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: