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NPI Code Detail

MEDICARE: PETER RIM M.D.

MEDICARE: PETER RIM M.D.
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
1207R00000XInternal Medicine PhysicianC54885CA
2207R00000XInternal Medicine Physician0101235252VA
3207RR0500XRheumatology Physician0101235252VA
4207RR0500XRheumatology PhysicianC54885CA

General Provider Information

NPI Number : 1730165044
Entity Type Code : Individual
Provider Name (Legal Business Name) : PETER RIM M.D.
Provider Business Mailing Address
First Line : 1972 LA CORSO CT
Second Line :
City : WALNUT CREEK
State : CA
Zip : 94598-2215
Country : US
Telephone Number : 301-502-6272
Fax Number :
Provider Business Practice Location Address
First Line : 975 SERENO DR
Second Line : RHEUMATOLOGY
City : VALLEJO
State : CA
Zip : 94589-2441
Country : US
Telephone Number : 707-651-1075
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/19/2005
Last Update Date : 12/15/2021

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