Healthcare Provider Details

I. General information

NPI: 1144424409
Provider Name (Legal Business Name): RMVR 8 INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/12/2007
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6508 LONETREE BLVD SUITE 103
ROCKLIN CA
95765
US

IV. Provider business mailing address

9380 COURTNEY WAY
ROSEVILLE CA
95747-9147
US

V. Phone/Fax

Practice location:
  • Phone: 916-771-5533
  • Fax: 916-771-5453
Mailing address:
  • Phone: 916-771-5533
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2080A0000X
TaxonomyPediatric Adolescent Medicine Physician
License NumberA89166
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License NumberA89166
License Number StateCA

VIII. Authorized Official

Name: RAOUL DEL MAR
Title or Position: PRESIDENT
Credential: MD
Phone: 916-771-5533