Provider Demographics
NPI:1174057384
Name:BINHIMAID, GINA (RN)
Entity type:Individual
Prefix:MS
First Name:GINA
Middle Name:
Last Name:BINHIMAID
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9447 VISAYA DR
Mailing Address - Street 2:
Mailing Address - City:RIVERSIDE
Mailing Address - State:CA
Mailing Address - Zip Code:92508-8029
Mailing Address - Country:US
Mailing Address - Phone:909-239-5658
Mailing Address - Fax:
Practice Address - Street 1:9447 VISAYA DR
Practice Address - Street 2:
Practice Address - City:RIVERSIDE
Practice Address - State:CA
Practice Address - Zip Code:92508-8029
Practice Address - Country:US
Practice Address - Phone:909-239-5658
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-04-13
Last Update Date:2017-04-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA662626163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse