Healthcare Provider Details

I. General information

NPI: 1306885009
Provider Name (Legal Business Name): EUNICE N. RHEE D.O.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/06/2006
Last Update Date: 01/21/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

521 E ELDER ST STE 104
FALLBROOK CA
92028-3081
US

IV. Provider business mailing address

521 E ELDER ST STE 104
FALLBROOK CA
92028-3081
US

V. Phone/Fax

Practice location:
  • Phone: 760-728-9560
  • Fax: 760-728-9020
Mailing address:
  • Phone: 760-728-9560
  • Fax: 760-728-9020

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number036110777
License Number StateIL
# 2
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number20A10812
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: