Healthcare Provider Details

I. General information

NPI: 1750443057
Provider Name (Legal Business Name): JAMES RHEIM MD INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/14/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

757 PACIFIC ST SUITE A1
MONTEREY CA
93940
US

IV. Provider business mailing address

757 PACIFIC ST SUITE A1
MONTEREY CA
93940
US

V. Phone/Fax

Practice location:
  • Phone: 831-373-4404
  • Fax: 831-373-5199
Mailing address:
  • Phone: 831-373-4404
  • Fax: 831-373-5199

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207N00000X
TaxonomyDermatology Physician
License NumberA86800
License Number StateCA

VIII. Authorized Official

Name: JAMES RHEIM
Title or Position: PRESIDENT
Credential: MD
Phone: 831-373-4404