Individual
DR. VIVEK RAMAKRISHNAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
400 N PEPPER AVE, DEPT. NEUROSURGERY MOD# 3, COLTON, CA 92324-1801
(909) 580-3353
(909) 580-1363
Mailing address
PO BOX 232410, DEPT. NEUROSURGERY MOD# 3, SAN DIEGO, CA 92193-2410
(619) 543-6164
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
20A11668
CA
Other
Enumeration date
10/02/2009
Last updated
10/04/2016
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