Provider Demographics
NPI:1972623759
Name:RALF V. REULAND M.D.
Entity Type:Organization
Organization Name:RALF V. REULAND M.D.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BILLING REPRESENTATIVE
Authorized Official - Prefix:MRS
Authorized Official - First Name:CINDY
Authorized Official - Middle Name:RENEE'
Authorized Official - Last Name:GABRIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:949-459-8174
Mailing Address - Street 1:901 CALLE AMANECER
Mailing Address - Street 2:STE 100
Mailing Address - City:SAN CLEMENTE
Mailing Address - State:CA
Mailing Address - Zip Code:92673-6278
Mailing Address - Country:US
Mailing Address - Phone:949-218-1470
Mailing Address - Fax:949-218-1471
Practice Address - Street 1:901 CALLE AMANECER
Practice Address - Street 2:STE 100
Practice Address - City:SAN CLEMENTE
Practice Address - State:CA
Practice Address - Zip Code:92673-6278
Practice Address - Country:US
Practice Address - Phone:949-218-1470
Practice Address - Fax:949-218-1471
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-29
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty