| Rahim A Raoufi, Md Inc | |
|
228 S D St Suite B Lompoc CA 93436-7308 | |
| (208) 667-9334 | |
| (208) 664-2341 |
| Full Name | Rahim A Raoufi, Md Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 228 S D St, Lompoc, California |
| Authorized Official Name and Position | Rahim A Raoufi (OWNER) |
| Authorized Official Contact | 5594304994 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Rahim A Raoufi, Md Inc 228 S D St Ste B Lompoc CA 93436-7308 Ph: (805) 740-6633 | Rahim A Raoufi, Md Inc 228 S D St Suite B Lompoc CA 93436-7308 Ph: (208) 667-9334 |
| NPI Number | 1043576796 |
|---|---|
| Provider Enumeration Date | 04/06/2012 |
| Last Update Date | 03/04/2015 |
| Medicare PECOS PAC ID | 6002062577 |
|---|---|
| Medicare Enrollment ID | O20120816000261 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043576796 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | (California) | Primary |
| Provider Name | Rahim A Raoufi |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1356327597 PECOS PAC ID: 5698700458 Enrollment ID: I20071113000452 |
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