Provider Demographics
NPI:1548323769
Name:RHO, JAMES I (MD)
Entity type:Individual
Prefix:DR
First Name:JAMES
Middle Name:I
Last Name:RHO
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:P O BOX 11238
Mailing Address - Street 2:
Mailing Address - City:SAN BERNARDINO
Mailing Address - State:CA
Mailing Address - Zip Code:92423-1238
Mailing Address - Country:US
Mailing Address - Phone:909-758-0411
Mailing Address - Fax:909-758-0711
Practice Address - Street 1:9327 FAIRWAY VIEW PL
Practice Address - Street 2:SUITE 210
Practice Address - City:RANCHO CUCAMONGA
Practice Address - State:CA
Practice Address - Zip Code:91730-0968
Practice Address - Country:US
Practice Address - Phone:909-758-0411
Practice Address - Fax:909-758-0711
Is Sole Proprietor?:No
Enumeration Date:2006-12-19
Last Update Date:2008-12-04
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CAG80002208VP0014X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208VP0014XAllopathic & Osteopathic PhysiciansPain MedicineInterventional Pain Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
361322601OtherACS US DEPT OF LABOR
CAG80002OtherMEDICAL LICENSE
CA330859420OtherBLUE CROSS
720000260OtherRAILROAD MEDICARE
CA00G800020OtherBLUE SHIELD
720000260OtherRAILROAD MEDICARE
G01946Medicare UPIN
720000260OtherRAILROAD MEDICARE