Organization
RONALD B BUSH MD A PROFESSIONAL CORP
Active
Parent organization
RONALD B BUSH MD A PROFESSIONAL CORP
Organization subpart
Yes
Provider details
NPI number
Legal business name
RONALD B BUSH MD A PROFESSIONAL CORP
Authorized official
RONALD BUSH M.D. (PRESIDENT)
(760) 200-2992
Entity
Organization
Contact information
Practice address
45280 CLUB DR, INDIAN WELLS, CA 92210-8860
(760) 200-2992
Mailing address
2980 N BEVERLY GLEN CIR, SUITE 301, LOS ANGELES, CA 90077-1726
(310) 474-9809
Taxonomy
Speciality
Code
Description
License number
State
332900000X
Non-Pharmacy Dispensing Site
Primary
—
—
Other
Enumeration date
06/29/2010
Last updated
03/01/2011
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