Provider Demographics
NPI:1730259029
Name:RUMSEY, EUGENE W JR (MD FACS)
Entity type:Individual
Prefix:MR
First Name:EUGENE
Middle Name:W
Last Name:RUMSEY
Suffix:JR
Gender:M
Credentials:MD FACS
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Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:10790 RANCHO BERNARDO RD
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92127-5705
Mailing Address - Country:US
Mailing Address - Phone:619-298-9931
Mailing Address - Fax:619-298-3613
Practice Address - Street 1:4060 FOURTH AVENUE
Practice Address - Street 2:SUITE 330
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92103
Practice Address - Country:US
Practice Address - Phone:619-298-9931
Practice Address - Fax:619-298-3613
Is Sole Proprietor?:No
Enumeration Date:2006-11-08
Last Update Date:2020-01-22
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAG40645208600000X, 208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA9815915Medicaid
A48300Medicare UPIN
W4910Medicare ID - Type Unspecified