Provider Demographics
NPI:1699595074
Name:JEFFEREY RAUNIG MD INC
Entity type:Organization
Organization Name:JEFFEREY RAUNIG MD INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PROVIDER
Authorized Official - Prefix:
Authorized Official - First Name:JEFFREY
Authorized Official - Middle Name:
Authorized Official - Last Name:RAUNIG
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:760-724-2193
Mailing Address - Street 1:3232 THUNDER DR
Mailing Address - Street 2:
Mailing Address - City:OCEANSIDE
Mailing Address - State:CA
Mailing Address - Zip Code:92056-4447
Mailing Address - Country:US
Mailing Address - Phone:760-291-6602
Mailing Address - Fax:
Practice Address - Street 1:3232 THUNDER DR
Practice Address - Street 2:
Practice Address - City:OCEANSIDE
Practice Address - State:CA
Practice Address - Zip Code:92056-4447
Practice Address - Country:US
Practice Address - Phone:760-291-6602
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-10-11
Last Update Date:2024-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty