Doctor Name: | RONALDO MAMARIL |
NPI Number: | 1013301266 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | |
License Number: | 95002162 |
Business Practice Address: | 7007 Washington Ave Whittier, CA - 906021484 |
Business Phone Number: | 9099216936 |
Business Fax Number: | |
Mailing Address: | 7007 Washington Ave, WHITTIER |
State: | CA |
Postal Code: | 906021484 |
Phone Number: | 9099216936 |
Fax Number: | |
NPI Enumeration Date: | 03/26/2015 |
NPI Last Update Date: | 07/31/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LA2200X |
License Number: | 95002162 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Adult Health |
Taxonomy Definition: |