| Ralph R. Vega M.d., Dabfp Inc | |
|
1666 N. Medical Center Dr Suite 2 San Bernardino CA 92411-1257 | |
| (909) 880-2491 | |
| (909) 880-2495 |
| Full Name | Ralph R. Vega M.d., Dabfp Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 1666 N. Medical Center Dr, San Bernardino, California |
| Authorized Official Name and Position | Ralph R Vega (OWNER) |
| Authorized Official Contact | 9098802491 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ralph R. Vega M.d., Dabfp Inc 1666 N. Medical Center Dr Suite 2 San Bernardino CA 92411-1257 Ph: (909) 880-2491 | Ralph R. Vega M.d., Dabfp Inc 1666 N. Medical Center Dr Suite 2 San Bernardino CA 92411-1257 Ph: (909) 880-2491 |
| NPI Number | 1649548462 |
|---|---|
| Provider Enumeration Date | 12/07/2011 |
| Last Update Date | 12/07/2011 |
| Medicare PECOS PAC ID | 1557538717 |
|---|---|
| Medicare Enrollment ID | O20120111000906 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649548462 | NPI | - | NPPES |
| 00A422000 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | A42200 (California) | Primary |
| Provider Name | Ralph R Vega |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1902900012 PECOS PAC ID: 7719154970 Enrollment ID: I20120111000922 |
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