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Individual

DR. RONALD A. SIMON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
3811 VALLEY CENTRE DR, SAN DIEGO, CA 92130
(858) 764-9010
Mailing address
10790 RANCHO BERNARDO RD, SAN DIEGO, CA 92127-5705
(858) 764-9010
(858) 764-9011

Taxonomy

Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
G31303
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00G313030
CA
Enumeration date
02/08/2006
Last updated
07/05/2018
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