Healthcare Provider Details

I. General information

NPI: 1386968352
Provider Name (Legal Business Name): RA CONSULTING GROUP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/20/2010
Last Update Date: 01/23/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12188 CENTRAL AVE SUITE #132
CHINO CA
91710-2420
US

IV. Provider business mailing address

12188 CENTRAL AVE SUITE #132
CHINO CA
91710-2420
US

V. Phone/Fax

Practice location:
  • Phone: 877-575-8889
  • Fax: 909-680-3143
Mailing address:
  • Phone: 877-575-8889
  • Fax: 909-680-3143

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code247000000X
TaxonomyHealth Information Technician
License Number
License Number State

VIII. Authorized Official

Name: MR. RAYMOND ABRAM
Title or Position: OWNER
Credential:
Phone: 877-575-8889