Organization
RONALD A KALAYTA MEDICAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RONALD A KALAYTA M.D. (OWNER)
(530) 674-8170
Entity
Organization
Contact information
Practice address
901 MAPLE AVE, YUBA CITY, CA 95991-3323
(530) 674-8170
(530) 674-5728
Mailing address
901 MAPLE AVE, YUBA CITY, CA 95991-3323
(530) 674-8170
(530) 674-5728
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
G228240
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00G228240
MEDICARE ID-TYPE UNSPECIFIED
CA
05
—
00G228240
—
CA
Enumeration date
12/28/2011
Last updated
10/03/2012
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