Healthcare Provider Details

I. General information

NPI: 1982920500
Provider Name (Legal Business Name): RMVR 8 INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/08/2010
Last Update Date: 04/08/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6508 LONETREE BLVD SUITE 103
ROCKLIN CA
95765-5885
US

IV. Provider business mailing address

6508 LONETREE BLVD SUITE 103
ROCKLIN CA
95765-5885
US

V. Phone/Fax

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

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM2500X
TaxonomyMedical Specialty Clinic/Center
License NumberA89166
License Number StateCA

VIII. Authorized Official

Name: DR. RAOUL DEL MAR
Title or Position: CEO
Credential: MD
Phone: 916-771-5533