Organization
RALPH J. VENUTO, MD, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KAREN KAWADA (BILLING MANAGER)
(949) 270-0344
Entity
Organization
Contact information
Practice address
360 SAN MIGUEL DR STE 701, NEWPORT BEACH, CA 92660-5927
(949) 759-3600
(949) 759-0282
Mailing address
360 SAN MIGUEL DR STE 701, NEWPORT BEACH, CA 92660-5927
(949) 759-3600
(949) 759-0282
Taxonomy
Speciality
Code
Description
License number
State
305R00000X
Preferred Provider Organization
Primary
G15060
CA
Other
Enumeration date
02/06/2012
Last updated
02/06/2012
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