Organization
NEONATOLOGY MEDICAL GROUP INC
Active
Other names
Rialto Pediatrics
Organization subpart
No
Provider details
NPI number
Authorized official
MR. VELLORE GANESH MURALIGOPAL MD (PRESIDENT)
(909) 790-5071
Entity
Organization
Contact information
Practice address
1786 NORTH RIVERSIDE AVE, SUITE 3, RIALTO, CA 92376-2905
(909) 874-7660
(909) 874-9069
Mailing address
PO BOX 8188, REDLANDS, CA 92375-1388
(909) 790-5071
(909) 790-5774
Taxonomy
Speciality
Code
Description
License number
State
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0609044
CITY OF RIALTO
CA
Enumeration date
12/04/2006
Last updated
08/22/2020
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