Organization
RONALD J. PHILIPP, D.O. A PROF CORP
Active
Organization
RONALD J. PHILIPP, D.O. A PROF CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RONALD J. PHILIPP D.O. (PHYSICIAN/OWNER)
(562) 498-8000
Entity
Organization
Contact information
Practice address
2255 N LAKEWOOD BLVD, LONG BEACH, CA 90815-2507
(562) 498-8000
(562) 494-8880
Mailing address
2255 N LAKEWOOD BLVD, LONG BEACH, CA 90815-2507
(562) 498-8000
(562) 494-8880
Taxonomy
Speciality
Code
Description
License number
State
207QG0300X
Geriatric Medicine (Family Medicine) Physician
Primary
20A4777
CA
207QG0300X
Geriatric Medicine (Family Medicine) Physician
20A6919
CA
Other
Enumeration date
10/17/2007
Last updated
01/08/2014
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