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Organization
NEONATOLOGY MEDICAL GROUP INC
Active
Organization
NEONATOLOGY MEDICAL GROUP INC
Active
Other names
Tots to Teens Pediatrics
Organization subpart
No
Provider details
NPI number
Authorized official
MR. VELLORE GANESH MURALIGOPAL MD (PRESIDENT)
(909) 790-5071
Entity
Organization
Contact information
Practice address
33353 YUCAIPA BLVD, YUCAIPA, CA 92399-2018
(909) 790-7900
(909) 790-7058
Mailing address
PO BOX 8188, REDLANDS, CA 92375-1388
(909) 790-7900
(909) 790-7058
Taxonomy
Speciality
Code
Description
License number
State
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
—
NULL
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
—
—
Other
Enumeration date
08/16/2006
Last updated
08/22/2020
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