Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207T00000X | Neurosurgeon | A62823 | CA |
NPI | 1083792220 |
---|---|
Provider Name | Rex L Rhoten |
First Address | San Diego, CA 92121-3054 |
Second Address | San Diego, CA 92121-3054 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 02/11/2006 |
Last Update Date | 24/10/2018 |