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NPI Code Detail

MEDICARE: RAYMOND R FRIPP MD

MEDICARE:   RAYMOND R FRIPP  MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12080P0202XPediatric Cardiology PhysicianC50679CA
2208000000XPediatrics PhysicianC50679CA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1225036627
Entity Type Code : Individual
Provider Name (Legal Business Name) : RAYMOND R FRIPP MD
Provider Business Mailing Address
First Line : 3020 CHILDRENS WAY
Second Line : MC5003
City : SAN DIEGO
State : CA
Zip : 92123-4223
Country : US
Telephone Number : 858-309-6303
Fax Number :
Provider Business Practice Location Address
First Line : 3020 CHILDRENS WAY
Second Line :
City : SAN DIEGO
State : CA
Zip : 92123-4223
Country : US
Telephone Number : 858-966-5855
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/09/2005
Last Update Date : 05/18/2016

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Directions to “ RAYMOND R FRIPP MD” Practice Location

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