Individual
RONALD JAY EDELSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
9339 GENESEE AVE STE P39, SAN DIEGO, CA 92121-2120
(858) 452-9900
(858) 455-1287
Mailing address
9339 GENESEE AVE STE P39, SAN DIEGO, CA 92121-2120
(858) 452-9900
(858) 455-1287
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
G59765
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G597650
—
CA
Enumeration date
09/20/2006
Last updated
03/07/2023
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