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MR. RONALD PAUL BAUMGARTNER P.A.

>> Family Medicine >> Allopathic & Osteopathic Physicians

Registrant NPI Number: 1104835404

Individual Registrant:
MR. RONALD PAUL BAUMGARTNER P.A.
Gender: M
Sole Proprietor

Location and contact information for practice:
231 W PARKWOOD AVE  LA HABRA, CA 90631-7222 US
Tel: 562-360-7591  Fax: 213-626-2512

Contact information for business:
231 W PARKWOOD AVE  LA HABRA, CA 90631-7222 US
Tel: 562-360-7591  Fax: --

Registration Information:
NPI: 1104835404
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
N207Q00000XAllopathic & Osteopathic Physicians
Family Medicine
CAPA 13047
Y363AM0700XPhysician Assistants & Advanced Practice Nursing Providers
Physician Assistant

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
P.A. LICENSEPA13047CA01




HEALTH CARE JOBS CA - Page 1



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