| Ramona Medical Clinic | |
|
341 E Main St San Jacinto CA 92583-4231 | |
| (951) 654-9367 | |
| (951) 654-0839 |
| Full Name | Ramona Medical Clinic |
|---|---|
| Speciality | Internal Medicine - Geriatric Medicine |
| Location | 341 E Main St, San Jacinto, California |
| Authorized Official Name and Position | Neelam Gupta (PHYSICIAN) |
| Authorized Official Contact | 9516549367 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ramona Medical Clinic 341 E Main St San Jacinto CA 92583-4231 Ph: (951) 654-9367 | Ramona Medical Clinic 341 E Main St San Jacinto CA 92583-4231 Ph: (951) 654-9367 |
| NPI Number | 1528049095 |
|---|---|
| Provider Enumeration Date | 11/10/2005 |
| Last Update Date | 10/31/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528049095 | NPI | - | NPPES |
| GR0082550 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | A45395 (California) | Secondary |
| 207RG0300X | Internal Medicine - Geriatric Medicine | A45395 (California) | Primary |
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