Provider Demographics
NPI:1548217821
Name:GUIANG, RAINIER MARK ENRIQUE (MD)
Entity type:Individual
Prefix:
First Name:RAINIER
Middle Name:MARK ENRIQUE
Last Name:GUIANG
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:RAINIER
Other - Middle Name:ENRIQUE
Other - Last Name:GUIANG
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:6900 BROCKTON AVE
Mailing Address - Street 2:SUITE 103
Mailing Address - City:RIVERSIDE
Mailing Address - State:CA
Mailing Address - Zip Code:92506-3801
Mailing Address - Country:US
Mailing Address - Phone:951-784-7111
Mailing Address - Fax:866-287-0329
Practice Address - Street 1:6900 BROCKTON AVE
Practice Address - Street 2:SUITE 103
Practice Address - City:RIVERSIDE
Practice Address - State:CA
Practice Address - Zip Code:92506-3801
Practice Address - Country:US
Practice Address - Phone:951-784-7111
Practice Address - Fax:866-287-0329
Is Sole Proprietor?:No
Enumeration Date:2006-05-30
Last Update Date:2013-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA84296207L00000X, 207LP2900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207LP2900XAllopathic & Osteopathic PhysiciansAnesthesiologyPain Medicine
No207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00A842960Medicaid
CAI06586Medicare UPIN
CA00A842960Medicare PIN