Organization
RONALD J POLICASTRO MD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RONALD J POLICASTRO MD (GASTROENTEROLOGIST)
(714) 962-7705
Entity
Organization
Contact information
Practice address
18111 BROOKHURST ST, SUITE 5200, FOUNTAIN VALLEY, CA 92708-6728
(714) 962-7705
(714) 962-7701
Mailing address
18111 BROOKHURST ST, SUITE 5200, FOUNTAIN VALLEY, CA 92708-6728
(714) 962-7705
(714) 962-7701
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
G40687
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G406870
—
CA
Enumeration date
11/02/2006
Last updated
06/14/2010
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