RAINER G. BANSUAN MD INC NPI 1639457153

NPI Information

  • NPI: 1639457153
  • Provider Name: RAINER G. BANSUAN MD INC
  • Classification: Clinic/Center - 261Q00000X
  • Entity Type: Organization
  • Other Name: BANSUAN MEDICAL CLINIC
  • Address: 10305 GARVEY AVE
    EL MONTE, CA
    ZIP 91733
  • Phone: (626) 455-0982

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NPI Details

RAINER G. BANSUAN MD INC is a clinic center in El Monte, CA. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). RAINER G. BANSUAN MD INC NPI is 1639457153. The provider is registered as an organization entity type.
The provider Other Name Is Bansuan Medical Clinic.

The provider's business location address is:

10305 GARVEY AVE
EL MONTE, CA
ZIP 91733-135
Phone: (626) 455-0982
Fax: (626) 455-0984

The provider's authorized official is Rainer G Bansuan .
The authorized official title is Medical Director and has the following contact phone number (626) 455-0982.

The enumeration date for this NPI number is 8/2/2011 and was last updated on 8/2/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QA0005XClinic/CenterAmbulatory Family Planning FacilityA51021CALIFORNIANo
2261Q00000XClinic/CenterA51021CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1A51021MEDICAIDCALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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