| Rjmrst Professional Corp | |
|
1141 W Redondo Beach Blvd Ste 306 Gardena CA 90247-3583 | |
| (714) 865-0263 | |
| (909) 563-1355 |
| Full Name | Rjmrst Professional Corp |
|---|---|
| Speciality | Internal Medicine |
| Location | 1141 W Redondo Beach Blvd Ste 306, Gardena, California |
| Authorized Official Name and Position | Sunanda (sue) Bhatia (MANANGER) |
| Authorized Official Contact | 7148650263 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Rjmrst Professional Corp 1141 W Redondo Beach Blvd Ste 306 Gardena CA 90247-3583 Ph: (714) 865-0263 | Rjmrst Professional Corp 1141 W Redondo Beach Blvd Ste 306 Gardena CA 90247-3583 Ph: (714) 865-0263 |
| NPI Number | 1225739147 |
|---|---|
| Provider Enumeration Date | 03/16/2023 |
| Last Update Date | 06/11/2024 |
| Medicare PECOS PAC ID | 8325580046 |
|---|---|
| Medicare Enrollment ID | O20240610003404 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225739147 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Jaee Tamhane |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1164981023 PECOS PAC ID: 5496113417 Enrollment ID: I20230623002115 |
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