Healthcare Provider Details
I. General information
NPI: 1578268983
Provider Name (Legal Business Name): RUME MEDICAL GROUP, INC.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 04/04/2023
Last Update Date: 04/04/2023
Certification Date: 03/30/2023
Deactivation Date:
Reactivation Date:
III. Provider practice location address
18800 DELAWARE ST STE 670
HUNTINGTON BEACH CA
92648-7605
US
IV. Provider business mailing address
18800 DELAWARE ST STE 800
HUNTINGTON BEACH CA
92648-6019
US
V. Phone/Fax
- Phone: 714-916-5210
- Fax:
- Phone: 714-916-5210
- Fax: 714-916-5494
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261QM0855X |
| Taxonomy | Adolescent and Children Mental Health Clinic/Center |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
MATTHEW
WAYNE
ABINANTE
Title or Position: OWNER
Credential: DO
Phone: 714-916-5210