Individual
RONALD PHILLIP BATACLAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
4929 VAN NUYS BLVD, SHERMAN OAKS, CA 91403-1702
(818) 981-7111
Mailing address
743 ISABEL ST, LOS ANGELES, CA 90065-1635
(949) 307-7793
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
95014038
CA
Other
Enumeration date
02/25/2020
Last updated
02/25/2020
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