# NEONATOLOGY MEDICAL GROUP INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1821101650
- **Authorized official:** MR. VELLORE GANESH MURALIGOPAL MD (PRESIDENT)
- **Authorized official phone:** (909) 790-5071

## Contact information

- **Practice address:** 400 N PEPPER AVE, COLTON, CA 92324-1801
- **Practice address phone:** (909) 580-6380
- **Practice address fax:** (909) 580-6361
- **Mailing address:** PO BOX 8188, REDLANDS, CA 92375-1388
- **Mailing address phone:** (909) 790-5071
- **Mailing address fax:** (909) 790-5774

## 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