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NPI Code Detail

MEDICARE: DR. OLIVER RALPH

MEDICARE: DR. OLIVER RALPH
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
1208600000XSurgery PhysicianA206074CA
22086S0102XSurgical Critical Care PhysicianA206074CA

General Provider Information

NPI Number : 1740817923
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. OLIVER RALPH
Provider Business Mailing Address
First Line : 2335 STOCKTON BLVD FL 5
Second Line :
City : SACRAMENTO
State : CA
Zip : 95817-2201
Country : US
Telephone Number : 916-734-5638
Fax Number :
Provider Business Practice Location Address
First Line : 2335 STOCKTON BLVD FL 5
Second Line :
City : SACRAMENTO
State : CA
Zip : 95817-2201
Country : US
Telephone Number : 916-734-5638
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/26/2020
Last Update Date : 06/13/2026

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