Organization
MANTECA GASTROENTEROLOGY ASSOCIATES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RIPUDMAN S BENIWAL MD (OWNER)
(775) 747-5050
Entity
Organization
Contact information
Practice address
1144 NORMAN DR STE 101, MANTECA, CA 95336-5959
(209) 239-0515
Mailing address
PO BOX 34120, RENO, NV 89533-4120
(775) 747-5050
(775) 747-5005
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
08/24/2023
Last updated
08/24/2023
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