Provider Demographics
NPI:1194711879
Name:NEIMAN, RAFAEL (MD)
Entity type:Individual
Prefix:MR
First Name:RAFAEL
Middle Name:
Last Name:NEIMAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:6620 COYLE AVENUE
Mailing Address - Street 2:SUITE 212
Mailing Address - City:CARMICHAEL
Mailing Address - State:CA
Mailing Address - Zip Code:95608
Mailing Address - Country:US
Mailing Address - Phone:916-536-9455
Mailing Address - Fax:916-782-7630
Practice Address - Street 1:6620 COYLE AVE STE 212
Practice Address - Street 2:
Practice Address - City:CARMICHAEL
Practice Address - State:CA
Practice Address - Zip Code:95608-6337
Practice Address - Country:US
Practice Address - Phone:916-536-9455
Practice Address - Fax:916-536-9424
Is Sole Proprietor?:Yes
Enumeration Date:2005-09-27
Last Update Date:2023-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA72506174400000X, 207XX0801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207XX0801XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryOrthopaedic TraumaGroup - Single Specialty
No174400000XOther Service ProvidersSpecialist