Organization
RAMONA MEDICAL CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NEELAM GUPTA M.D. (PHYSICIAN)
(951) 654-9367
Entity
Organization
Contact information
Practice address
341 E MAIN ST, SAN JACINTO, CA 92583-4231
(951) 654-9367
(951) 654-0839
Mailing address
341 E MAIN ST, SAN JACINTO, CA 92583-4231
(951) 654-9367
(951) 654-0839
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
A45395
CA
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
A45395
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0082550
—
CA
Enumeration date
11/10/2005
Last updated
10/31/2007
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