Basic Information
Provider Information
NPI: 1336343912
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: MERLA
FirstName: RAMANNA
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
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OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 840 TOWNE CENTER DR
Address2:  
City: POMONA
State: CA
PostalCode: 917675900
CountryCode: US
TelephoneNumber: 9093891550
FaxNumber: 9093981488
Practice Location
Address1: 1866 N ORANGE GROVE AVE STE 201
Address2:  
City: POMONA
State: CA
PostalCode: 917673042
CountryCode: US
TelephoneNumber: 9096235866
FaxNumber: 9096231606
Other Information
ProviderEnumerationDate: 06/14/2007
LastUpdateDate: 09/13/2018
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207RC0001XA118933CAY Allopathic & Osteopathic PhysiciansInternal MedicineClinical Cardiac Electrophysiology
207R00000XBP1-0016696TXN Allopathic & Osteopathic PhysiciansInternal Medicine 
207R00000XA118933CAN Allopathic & Osteopathic PhysiciansInternal Medicine 
207R00000XM7429TXN Allopathic & Osteopathic PhysiciansInternal Medicine 
207RC0000XA118933CAN Allopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease

No ID Information.


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