R E H MD Inc

Primary specialty

Plastic Surgery PhysicianTaxonomy code 208200000X

License

G24863 Issued in CA

Legal business name

R E H MD INC

Practice address

402 W Broadway
Suite 1270
San Diego, CA 92101-3542

Phone

(858) 229-0227

NPI assigned

Nov 1, 2011

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ralph E Holmes, M.D.

Title

President

Phone

(858) 229-0227

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1320105600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1320105600000",
    "number": "1275819435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "402 W BROADWAY",
            "address_2": "SUITE 1270",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921013542",
            "telephone_number": "858-229-0227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "402 W BROADWAY",
            "address_2": "SUITE 1270",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921013542",
            "telephone_number": "858-229-0227"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "R E H MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-01",
        "last_updated": "2011-11-01",
        "status": "A",
        "authorized_official_last_name": "HOLMES",
        "authorized_official_first_name": "RALPH",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "858-229-0227",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Plastic Surgery",
            "state": "CA",
            "license": "G24863",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1104899723",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Plastic Surgery Physician in San Diego, CA
• Providers in San Diego, CA by specialty
• Plastic Surgery Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.