Provider Demographics
NPI:1437742632
Name:M4R INC
Entity type:Organization
Organization Name:M4R INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:MOHSEN
Authorized Official - Middle Name:M
Authorized Official - Last Name:EL RAMAH
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:760-352-1731
Mailing Address - Street 1:PO BOX 4143
Mailing Address - Street 2:
Mailing Address - City:EL CENTRO
Mailing Address - State:CA
Mailing Address - Zip Code:92244-4143
Mailing Address - Country:US
Mailing Address - Phone:760-892-1620
Mailing Address - Fax:
Practice Address - Street 1:1550 N IMPERIAL AVE STE 1
Practice Address - Street 2:
Practice Address - City:EL CENTRO
Practice Address - State:CA
Practice Address - Zip Code:92243-6304
Practice Address - Country:US
Practice Address - Phone:760-892-1620
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-02-18
Last Update Date:2021-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty