Individual provider · NPI-1

Ronald Paul Baumgartner, P.A.

Physician Assistant, Medical · La Habra, CA

NPI number1104835404

StatusActive

Last updated in NPPESJul 16, 2012

Details

NPI: 1104835404
Entity type: Individual (NPI-1)
Name: Mr. Ronald Paul Baumgartner
Credential: P.A.
Sex: Male
Sole proprietor: Yes
Enumeration date: Aug 5, 2006
Last updated: Jul 16, 2012

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
363AM0700X	Physician Assistant, Medical	–	–	Yes
207Q00000X	Family Medicine	PA 13047	CA

Practice location

231 W Parkwood Ave
La Habra, CA 90631-7222

Phone 562-360-7591 · Fax 213-626-2512

Mailing address

231 W Parkwood Ave
La Habra, CA 90631-7222

Phone 562-360-7591

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