Healthcare Provider Details

I. General information

NPI: 1285849158
Provider Name (Legal Business Name): PAIGE RHINE PH.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/13/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

601 DOVER DR STE 11
NEWPORT BEACH CA
92663-5700
US

IV. Provider business mailing address

601 DOVER DR STE 11
NEWPORT BEACH CA
92663-5700
US

V. Phone/Fax

Practice location:
  • Phone: 949-646-4833
  • Fax: 949-646-4487
Mailing address:
  • Phone: 949-646-4833
  • Fax: 949-646-4487

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code102L00000X
TaxonomyPsychoanalyst
License NumberPSY 7056
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: