Individual
RONALD LEWIS HEBARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
9961 SIERRA AVE, FONTANA, CA 92335-6720
(909) 427-3910
Mailing address
393 E WALNUT ST, 3RD FLOOR PHR SYSTEMS, PASADENA, CA 91188-0001
(000) 000-0000
(000) 000-0000
Taxonomy
Speciality
Code
Description
License number
State
207YX0007X
Plastic Surgery within the Head & Neck (Otolaryngology) Physician
60270
KY
207YX0007X
Plastic Surgery within the Head & Neck (Otolaryngology) Physician
Primary
G58876
CA
207YX0007X
Plastic Surgery within the Head & Neck (Otolaryngology) Physician
TP500
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G588760
—
CA
Enumeration date
11/29/2006
Last updated
01/14/2025
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