Individual
DR. RONNIE ISAAC MIMRAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
20055 LAKE CHABOT RD, #110, CASTRO VALLEY, CA 94546
(510) 886-3138
(510) 373-1616
Mailing address
1320 EL CAPITAN DR, #300, DANVILLE, CA 94526-6258
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
A90574
CA
Other
Enumeration date
05/23/2006
Last updated
05/04/2012
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