Provider Demographics
NPI:1043424971
Name:RAINBOW PEDIATRICS STEVE RANDAL E. FIRME, M.D., INC.
Entity type:Organization
Organization Name:RAINBOW PEDIATRICS STEVE RANDAL E. FIRME, M.D., INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:STEVE RANDAL
Authorized Official - Middle Name:EJERCITO
Authorized Official - Last Name:FIRME
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:909-981-5738
Mailing Address - Street 1:980 E FOOTHILL BLVD
Mailing Address - Street 2:SUITE 102
Mailing Address - City:UPLAND
Mailing Address - State:CA
Mailing Address - Zip Code:91786-4056
Mailing Address - Country:US
Mailing Address - Phone:909-981-5738
Mailing Address - Fax:909-981-4577
Practice Address - Street 1:980 E FOOTHILL BLVD
Practice Address - Street 2:SUITE 102
Practice Address - City:UPLAND
Practice Address - State:CA
Practice Address - Zip Code:91786-4056
Practice Address - Country:US
Practice Address - Phone:909-981-5738
Practice Address - Fax:909-981-4577
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-10
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA056129208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Single Specialty