Healthcare Provider Details

I. General information

NPI: 1811891948
Provider Name (Legal Business Name): RAIYUMEDICAL, PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/03/2026
Last Update Date: 10/03/2026
Certification Date: 10/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2010 E 1ST ST STE 270
SANTA ANA CA
92705-4083
US

IV. Provider business mailing address

2010 E 1ST ST STE 270
SANTA ANA CA
92705-4083
US

V. Phone/Fax

Practice location:
  • Phone: 760-699-1110
  • Fax:
Mailing address:
  • Phone: 760-699-1110
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RA0000X
TaxonomyAdolescent Medicine (Internal Medicine) Physician
License Number
License Number StateNULL

VIII. Authorized Official

Name: DR. RAMESH BAMBHANIA
Title or Position: PHYSICIAN
Credential: MD
Phone: 760-699-1110