Provider Demographics
NPI:1982920500
Name:RMVR 8 INC
Entity type:Organization
Organization Name:RMVR 8 INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:RAOUL
Authorized Official - Middle Name:
Authorized Official - Last Name:DEL MAR
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:916-771-5533
Mailing Address - Street 1:6508 LONETREE BLVD
Mailing Address - Street 2:SUITE 103
Mailing Address - City:ROCKLIN
Mailing Address - State:CA
Mailing Address - Zip Code:95765-5885
Mailing Address - Country:US
Mailing Address - Phone:916-771-5533
Mailing Address - Fax:
Practice Address - Street 1:6508 LONETREE BLVD
Practice Address - Street 2:SUITE 103
Practice Address - City:ROCKLIN
Practice Address - State:CA
Practice Address - Zip Code:95765-5885
Practice Address - Country:US
Practice Address - Phone:916-771-5533
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-04-08
Last Update Date:2010-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA89166261QM2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM2500XAmbulatory Health Care FacilitiesClinic/CenterMedical Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAOTH000OtherUPIN