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DR. AMRITA GHUMMAN M.D.

>> Family Medicine >> Allopathic & Osteopathic Physicians

Registrant NPI Number: 1831292994

Individual Registrant:
DR. AMRITA  GHUMMAN M.D.
Gender: F
Not Sole Proprietor

Location and contact information for practice:
13350 BIG BASIN WAY  BOULDER CREEK, CA 95006-9237 US
Tel: 831-338-6491  Fax: 831-338-2767

Contact information for business:
1595 SOQUEL DR STE 330 SANTA CRUZ, CA 95065-1719 US
Tel: 831-465-7761  Fax: 831-475-1156

Registration Information:
NPI: 1831292994
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y207Q00000XAllopathic & Osteopathic Physicians
Family Medicine
CAA89319

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
MEDI-CAL ID NUMBERGR0028553CA01




HEALTH CARE JOBS CA - Page 1



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