Individual
DR. RUNGWASEE RATTANAVICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
25865 BARTON RD STE 101, LOMA LINDA, CA 92354-3896
(909) 558-3636
Mailing address
25865 BARTON RD STE 101, LOMA LINDA, CA 92354-3896
(800) 548-3790
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
A157364
CA
207RN0300X
Nephrology Physician
Primary
A157364
CA
Other
Enumeration date
07/19/2012
Last updated
01/14/2019
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