Provider Demographics
NPI:1992729859
Name:RICE, KEVIN ERIC (MD)
Entity type:Individual
Prefix:DR
First Name:KEVIN
Middle Name:ERIC
Last Name:RICE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:121 W WHITTIER BLVD STE 100
Mailing Address - Street 2:
Mailing Address - City:LA HABRA
Mailing Address - State:CA
Mailing Address - Zip Code:90631-0903
Mailing Address - Country:US
Mailing Address - Phone:562-694-2500
Mailing Address - Fax:562-694-2577
Practice Address - Street 1:121 W WHITTIER BLVD STE 100
Practice Address - Street 2:
Practice Address - City:LA HABRA
Practice Address - State:CA
Practice Address - Zip Code:90631-0903
Practice Address - Country:US
Practice Address - Phone:562-694-2500
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-07-26
Last Update Date:2025-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG77174207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TNMD025048OtherMEDICAL LICENSE
TNF95679Medicare UPIN
TN3825107Medicare UPIN