Individual
DR. DONALD A. RAMBERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
699 CALIFORNIA BLVD, SUITE B, SAN LUIS OBISPO, CA 93401-2507
(805) 543-6710
(805) 543-8298
Mailing address
699 CALIFORNIA BLVD, SUITE B, SAN LUIS OBISPO, CA 93401-2507
(805) 543-6710
(805) 543-8298
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
G56939
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00G569390
BLUE SHIELD
CA
05
—
00G569390
—
CA
01
—
184194600
DEPT OF LABOR
CA
01
—
G56939
BLUE CROSS
CA
Enumeration date
02/22/2006
Last updated
09/27/2011
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