Healthcare Provider Details

I. General information

NPI: 1154772259
Provider Name (Legal Business Name): RIMPAU MEDICAL CLINIC, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/29/2016
Last Update Date: 08/19/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1451 S. RIMPAU AVE SUITE 109
CORONA CA
92879-7521
US

IV. Provider business mailing address

1451 S. RIMPAU AVE SUITE 109
CORONA CA
92879-7521
US

V. Phone/Fax

Practice location:
  • Phone: 951-356-5834
  • Fax: 951-356-5844
Mailing address:
  • Phone: 951-356-5834
  • Fax: 951-356-5844

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License Number
License Number State

VIII. Authorized Official

Name: WALTER OCALAPLAPIT
Title or Position: PRESIDENT
Credential: PA
Phone: 951-356-5834