Individual
DR. AMRITA GHUMMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
13350 BIG BASIN WAY, BOULDER CREEK, CA 95006-9237
(831) 338-6491
(831) 338-2767
Mailing address
1595 SOQUEL DR, STE 330, SANTA CRUZ, CA 95065-1719
(831) 465-7761
(831) 475-1156
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
A89319
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
GR0028553
MEDI-CAL ID NUMBER
CA
Enumeration date
09/06/2006
Last updated
07/09/2007
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