MEDICARE: RALPH G DREIER

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	208600000X	Surgery Physician	00A288820	CA
2	2086S0129X	Vascular Surgery Physician	00A288820	CA

Other Identifiers

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

General Provider Information

NPI Number	:	1174506661
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RALPH G DREIER

Provider Business Mailing Address
First Line	:	241 LAURSEN ST
Second Line	:
City	:	HEMET
State	:	CA
Zip	:	92543-4437
Country	:	US
Telephone Number	:	951-658-3258
Fax Number	:	951-658-1299

Provider Business Practice Location Address
First Line	:	241 LAURSEN ST
Second Line	:
City	:	HEMET
State	:	CA
Zip	:	92543-4437
Country	:	US
Telephone Number	:	951-658-3258
Fax Number	:	951-658-1299

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

Provider Enumeration Date	:	11/29/2005
Last Update Date	:	06/30/2010

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Directions to “ RALPH G DREIER ” Practice Location

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