Organization Name: | RAMONA OAKS FAMILY MEDICINE INC |
NPI Number: | 1891967402 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JAMES M RICKETTS (CEO) |
Mailing Address: | 23678 San Vicente Rd Ramona |
State: | CA US |
Postal Code: | 920654245 |
Phone Number: | 7607898812 |
Fax Number: | 7607889862 |
NPI Enumeration Date: | 03/24/2008 |
NPI Last Update Date: | 01/16/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 20A4384 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |