# RONALD S GREENWALD

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1457544462
- **Authorized official:** MRS. DIANA I PISTORIUS (BUSINESS MANAGER)
- **Authorized official phone:** (650) 968-4747

## Contact information

- **Practice address:** 2500 HOSPITAL DR, BUILDING 15, MOUNTAIN VIEW, CA 94040-4106
- **Practice address phone:** (650) 968-4747
- **Practice address fax:** (650) 968-8086
- **Mailing address:** 2500 HOSPITAL DR, BUILDING 15, MOUNTAIN VIEW, CA 94040-4106
- **Mailing address phone:** (650) 968-4747
- **Mailing address fax:** (650) 968-8086

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | G56400 | CA | Yes |

## Other

- **Enumeration date:** 08/22/2007
- **Last updated:** 08/22/2007