Individual provider · NPI-1

Ronald J. Correa, M.D.

Family Medicine · La Habra, CA

NPI number1821035536
StatusActive
Last updated in NPPESMar 24, 2015

Details

NPI
1821035536
Entity type
Individual (NPI-1)
Name
Ronald J. Correa
Credential
M.D.
Sex
Male
Sole proprietor
Yes
Enumeration date
Jun 1, 2006
Last updated
Mar 24, 2015

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207Q00000X Family MedicineG50772CAYes

Practice location

361 E Whittier Blvd Ste B
La Habra, CA 90631-3842

Phone 562-694-3911 · Fax 562-690-1453

Mailing address

361 Whittier Blvd.
Suite B
La Habra, CA 90631-3842

Phone 562-694-3911 · Fax 562-690-1453

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