Provider Demographics
NPI:1154772259
Name:RIMPAU MEDICAL CLINIC, INC.
Entity type:Organization
Organization Name:RIMPAU MEDICAL CLINIC, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:WALTER
Authorized Official - Middle Name:
Authorized Official - Last Name:OCALAPLAPIT
Authorized Official - Suffix:
Authorized Official - Credentials:PA
Authorized Official - Phone:951-356-5834
Mailing Address - Street 1:1451 S. RIMPAU AVE
Mailing Address - Street 2:SUITE 109
Mailing Address - City:CORONA
Mailing Address - State:CA
Mailing Address - Zip Code:92879-7521
Mailing Address - Country:US
Mailing Address - Phone:951-356-5834
Mailing Address - Fax:951-356-5844
Practice Address - Street 1:1451 S. RIMPAU AVE
Practice Address - Street 2:SUITE 109
Practice Address - City:CORONA
Practice Address - State:CA
Practice Address - Zip Code:92879-7521
Practice Address - Country:US
Practice Address - Phone:951-356-5834
Practice Address - Fax:951-356-5844
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-06-29
Last Update Date:2016-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral PracticeGroup - Single Specialty