Organization
DONALD A. RAMBERG M.D., INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DONALD A RAMBERG M.D. (SOLE OWNER)
(805) 543-6710
Entity
Organization
Contact information
Practice address
699 CALIFORNIA BLVD STE B, SAN LUIS OBISPO, CA 93401-2507
(805) 543-6710
(805) 543-8298
Mailing address
699 CALIFORNIA BLVD STE 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
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00G569390
BLUE SHIELD
CA
05
—
00G569390
—
CA
01
—
G56939
BLUE CROSS
CA
Enumeration date
03/15/2011
Last updated
03/15/2011
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