# NEONATOLOGY MEDICAL GROUP INC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** Tots to Teens Pediatrics
- **Organization subpart:** No

## Provider details

- **NPI number:** 1649383472
- **Authorized official:** MR. VELLORE GANESH MURALIGOPAL MD (PRESIDENT)
- **Authorized official phone:** (909) 790-5071

## Contact information

- **Practice address:** 33353 YUCAIPA BLVD, YUCAIPA, CA 92399-2018
- **Practice address phone:** (909) 790-7900
- **Practice address fax:** (909) 790-7058
- **Mailing address:** PO BOX 8188, REDLANDS, CA 92375-1388
- **Mailing address phone:** (909) 790-7900
- **Mailing address fax:** (909) 790-7058

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2080N0001X | Neonatal-Perinatal Medicine Physician | — | NULL | Yes |
| 2080N0001X | Neonatal-Perinatal Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 08/16/2006
- **Last updated:** 08/22/2020