Provider Demographics
NPI:1144917741
Name:RAMBEL VEIN CENTER, PC
Entity type:Organization
Organization Name:RAMBEL VEIN CENTER, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:F
Authorized Official - Last Name:GUERRERO
Authorized Official - Suffix:
Authorized Official - Credentials:FNP
Authorized Official - Phone:760-975-5305
Mailing Address - Street 1:1671 W MAIN ST STE B
Mailing Address - Street 2:
Mailing Address - City:EL CENTRO
Mailing Address - State:CA
Mailing Address - Zip Code:92243-5420
Mailing Address - Country:US
Mailing Address - Phone:760-592-7760
Mailing Address - Fax:760-592-7765
Practice Address - Street 1:628 G ST
Practice Address - Street 2:
Practice Address - City:BRAWLEY
Practice Address - State:CA
Practice Address - Zip Code:92227-2544
Practice Address - Country:US
Practice Address - Phone:760-592-7760
Practice Address - Fax:760-592-7765
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-04-24
Last Update Date:2023-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RI0011XAllopathic & Osteopathic PhysiciansInternal MedicineInterventional CardiologyGroup - Single Specialty