Healthcare Provider Details

I. General information

NPI: 1508898214
Provider Name (Legal Business Name): RUMI A CADER MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/06/2006
Last Update Date: 03/07/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

16111 PLUMMER ST SEPULVEDA VA AMBULATORY CARE CENTER, OOPG
NORTH HILLS CA
91343-2036
US

IV. Provider business mailing address

16111 PLUMMER ST SEPULVEDA VA AMBULATORY CARE CENTER, OOPG
NORTH HILLS CA
91343-2036
US

V. Phone/Fax

Practice location:
  • Phone: 818-897-7711
  • Fax: 818-895-9571
Mailing address:
  • Phone: 818-897-7711
  • Fax: 818-895-9571

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberA61713
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: