Individual
MR. RONALD WAYNE ROSENQUIST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
24953 PASEO DE VALENCIA, LAGUNA HILLS, CA 92653-4342
(949) 768-6711
(949) 768-6711
Mailing address
24953 PASEO DE VALENCIA, 7-C, LAGUNA HILLS, CA 92653
(949) 768-6711
(949) 768-6711
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
G34099
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00G340990
BCBS
CA
Enumeration date
07/07/2005
Last updated
01/22/2010
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