Healthcare Provider Details

I. General information

NPI: 1528776564
Provider Name (Legal Business Name): RUME MEDICAL GROUP, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/08/2022
Last Update Date: 08/27/2024
Certification Date: 08/27/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2729 BRISTOL ST
COSTA MESA CA
92626-7930
US

IV. Provider business mailing address

2729 BRISTOL ST
COSTA MESA CA
92626-7930
US

V. Phone/Fax

Practice location:
  • Phone: 657-256-8995
  • Fax: 866-461-2312
Mailing address:
  • Phone: 714-340-1322
  • Fax: 714-880-7111

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code291U00000X
TaxonomyClinical Medical Laboratory
License Number
License Number State

VIII. Authorized Official

Name: MATTHEW WAYNE ABINANTE
Title or Position: CEO
Credential: DO
Phone: 714-916-5210