Healthcare Provider Details

I. General information

NPI: 1659310100
Provider Name (Legal Business Name): STEVEN O RIMMER M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/06/2006
Last Update Date: 11/06/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1690 BARTON RD STE. 200
REDLANDS CA
92373-4229
US

IV. Provider business mailing address

PO BOX 10069
SAN BERNARDINO CA
92423-0069
US

V. Phone/Fax

Practice location:
  • Phone: 909-793-3311
  • Fax: 909-796-4158
Mailing address:
  • Phone: 909-335-4188
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207W00000X
TaxonomyOphthalmology Physician
License NumberG69154
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: