Individual
RON COLLADO MACADANGDANG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
14850 ROSCOE BLVD, PANORAMA CITY, CA 91402-4677
(818) 787-2222
Mailing address
14850 ROSCOE BLVD, PANORAMA CITY, CA 91402-4677
(818) 787-2222
Taxonomy
Speciality
Code
Description
License number
State
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
Primary
663095
CA
Other
Enumeration date
11/15/2022
Last updated
11/15/2022
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