Provider Demographics
NPI:1366078743
Name:RHONDA J. MYERS, M.D.
Entity type:Organization
Organization Name:RHONDA J. MYERS, M.D.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BILLING/FRONT OFFICE
Authorized Official - Prefix:
Authorized Official - First Name:CECILE
Authorized Official - Middle Name:
Authorized Official - Last Name:TOLENTINO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:949-552-3121
Mailing Address - Street 1:4902 IRVINE CENTER DR STE 108
Mailing Address - Street 2:
Mailing Address - City:IRVINE
Mailing Address - State:CA
Mailing Address - Zip Code:92604-3334
Mailing Address - Country:US
Mailing Address - Phone:949-552-3121
Mailing Address - Fax:949-552-3723
Practice Address - Street 1:4902 IRVINE CENTER DR STE 108
Practice Address - Street 2:
Practice Address - City:IRVINE
Practice Address - State:CA
Practice Address - Zip Code:92604-3334
Practice Address - Country:US
Practice Address - Phone:949-552-3121
Practice Address - Fax:949-552-3723
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-03-18
Last Update Date:2020-05-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207KA0200XAllopathic & Osteopathic PhysiciansAllergy & ImmunologyAllergyGroup - Single Specialty