Rasmussen, Maynard Ray

Rasmussen, Maynard Ray is an individual health care provider with primary practice located at 3003 Health Center Dr , San Diego CA 92123-2700. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine. Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine is his primary health care specialty. Rasmussen, Maynard Ray can be contacted via phone (858) 939-4198.

Contact Information

Primary practice address
3003 Health Center Dr San Diego CA 92123-2700
Phone: (858) 939-4198
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X G31406 California
Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine 2080N0001X G31406 California

Profile Details

NPI number 1992887236
LBN Legal business name Rasmussen, Maynard Ray
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 19th, 2006
Last updated Dec 11th, 2013 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1992887236 NPPES
California MEDICAID 00G314060

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