MR. ERNEL DALEVA RAYMUNDO


Address: 6236 Vista Santa Clara, San Diego, CA 92154-5626
Phone: 6199473694

MR. ERNEL DALEVA RAYMUNDO (NPI# 1083891550) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1083891550
Entity Type Individual
Full Name MR. ERNEL DALEVA RAYMUNDO
Practice Address 6236 Vista Santa Clara
San Diego
CA 92154-5626
Practice Telephone 6199473694
Mailing Telephone 6199473694
Enumeration Date 2008-01-28
Last Update Date 2008-01-28
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2471C3402X Radiologic Technologist
Specialization: Radiography
RHF 78744 CA Technologists, Technicians & Other Technical Service Providers

Office Location

Street Address 6236 VISTA SANTA CLARA
City SAN DIEGO
State CA
Zip Code 92154-5626

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Taxonomy Information

Taxonomy Code 2471C3402X
Grouping Technologists, Technicians & Other Technical Service Providers
Classification Radiologic Technologist
Specialization Radiography

Taxonomy Definition

Definition to come...

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1407038284 Brian Joseph Granacki Radiologic Technologist 1450 Chalcedony St Apt 9, San Diego, CA 92109-2130 2007-12-03
1104038124 Robert Ellis Truitt Jr. Radiologic Technologist 2950 Fern Ave, San Diego, CA 92154-3411 2007-05-03
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1336497544 Janet Todd Johnson Radiologic Technologist 10737 Camino Ruiz, Suite 105, San Diego, CA 92126-2359 2012-08-20
1083845507 Roy Anthony Brown Radiologic Technologist 5288 Eastgate Mall, San Diego, CA 92121-2835 2009-07-31
1881850709 Sergio Hinojosa Radiologic Technologist 34800 Bob Wilson Dr, San Diego, CA 92134-1098 2008-07-30
1780869529 George Jeffrey Reeves Radiologic Technologist 3350 La Jolla Village Dr, San Diego, CA 92161-0002 2007-12-28
1871797761 Forest Imaging, Inc. Radiologic Technologist 5288 Eastgate Mall, Suite A, San Diego, CA 92121-2835 2007-06-13
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Competitor

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City SAN DIEGO
Zip Code 92154

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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