MEDICARE: DR. RAMAN CHOPRA 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
1	208000000X	Pediatrics Physician	A32763	CA

General Provider Information

NPI Number	:	1093816738
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. RAMAN CHOPRA MD

Provider Business Mailing Address
First Line	:	12555 GARDEN GROVE BLVD
Second Line	:	SUITE 404
City	:	GARDEN GROVE
State	:	CA
Zip	:	92843-1903
Country	:	US
Telephone Number	:	714-638-0232
Fax Number	:	714-638-0821

Provider Business Practice Location Address
First Line	:	12555 GARDEN GROVE BLVD
Second Line	:	SUITE 404
City	:	GARDEN GROVE
State	:	CA
Zip	:	92843-1903
Country	:	US
Telephone Number	:	714-638-0232
Fax Number	:	714-638-0821

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/26/2006
Last Update Date	:	02/09/2012

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