Organization Name: | LEROY RHEIN MD INC |
NPI Number: | 1073507406 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | LEROY W RHEIN (OWNER) |
Mailing Address: | 6840 Sepulveda Blvd Van Nuys |
State: | CA US |
Postal Code: | 914054401 |
Phone Number: | 8184429080 |
Fax Number: | 8184429081 |
NPI Enumeration Date: | 08/31/2005 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | X |
State: | |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |