Individual
RONALD ERIC GLOUSMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
999 N TUSTIN AVE, SUITE 114, SANTA ANA, CA 92705-3528
(310) 659-9116
(866) 807-7466
Mailing address
PO BOX 570627, TARZANA, CA 91357-0627
(310) 659-9116
(866) 807-7466
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
G45186
CA
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
G45186
CA
Other
Enumeration date
01/27/2006
Last updated
09/18/2024
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