Healthcare Provider Details

I. General information

NPI: 1336890284
Provider Name (Legal Business Name): RPM MEDICAL GROUP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/12/2022
Last Update Date: 04/22/2026
Certification Date: 04/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

438 E KATELLA AVE. STE. 226
ORANGE CA
92867-4803
US

IV. Provider business mailing address

438 E KATELLA AVE STE 226
ORANGE CA
92867-4803
US

V. Phone/Fax

Practice location:
  • Phone: 760-687-6968
  • Fax: 951-351-1104
Mailing address:
  • Phone: 760-687-6968
  • Fax: 951-351-1104

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: DUREZA HANSON
Title or Position: PRESIDENT
Credential:
Phone: 760-760-6876