Provider Demographics
NPI:1992822480
Name:PAUL R. REIMAN, MD INC
Entity type:Organization
Organization Name:PAUL R. REIMAN, MD INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:PAUL
Authorized Official - Middle Name:R
Authorized Official - Last Name:REIMAN
Authorized Official - Suffix:
Authorized Official - Credentials:M
Authorized Official - Phone:951-461-8684
Mailing Address - Street 1:5777 W CENTURY BLVD
Mailing Address - Street 2:SUITE 670
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90045-5600
Mailing Address - Country:US
Mailing Address - Phone:310-388-9012
Mailing Address - Fax:310-388-9013
Practice Address - Street 1:25485 MEDICAL CENTER DR
Practice Address - Street 2:#200
Practice Address - City:MURRIETA
Practice Address - State:CA
Practice Address - Zip Code:92562-6927
Practice Address - Country:US
Practice Address - Phone:951-461-8684
Practice Address - Fax:951-461-8674
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-22
Last Update Date:2013-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
4554310001Medicare NSC
CAZZZ22033ZMedicare PIN