Individual
RAMESH BANSAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
11234 ANDERSON ST, #1617, LOMA LINDA, CA 92354-2804
(909) 558-8591
Mailing address
FILE 54701, LOS ANGELES, CA 90074-4701
(909) 651-4300
Taxonomy
Speciality
Code
Description
License number
State
207RA0002X
Adult Congenital Heart Disease Physician
Primary
A30850
CA
207RC0000X
Cardiovascular Disease Physician
A30850
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A308500
—
CA
Enumeration date
07/18/2006
Last updated
10/04/2018
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