Individual
MR. RONALD PAUL BAUMGARTNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
P.A.
Contact information
Practice address
231 W PARKWOOD AVE, LA HABRA, CA 90631-7222
(562) 360-7591
(213) 626-2512
Mailing address
231 W PARKWOOD AVE, LA HABRA, CA 90631-7222
(562) 360-7591
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
PA 13047
CA
363AM0700X
Medical Physician Assistant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PA13047
P.A. LICENSE
CA
Enumeration date
08/05/2006
Last updated
07/16/2012
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