MEDICARE: JEANINA RUMBAOA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	163W00000X	Registered Nurse	95066497	CA

General Provider Information

NPI Number	:	1588020085
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JEANINA RUMBAOA

Provider Business Mailing Address
First Line	:	339 W PEBBLE CREEK LN
Second Line	:
City	:	ORANGE
State	:	CA
Zip	:	92865-1096
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	5962 RANCHO MISSION RD
Second Line	:	UNIT 215
City	:	SAN DIEGO
State	:	CA
Zip	:	92108-2585
Country	:	US
Telephone Number	:	310-989-1452
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/13/2016
Last Update Date	:	01/13/2016

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Directions to “ JEANINA RUMBAOA ” Practice Location

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