| Ronald J Policastro Md Inc | |
|
18111 Brookhurst St Suite 5200 Fountain Valley CA 92708-6728 | |
| (714) 962-7705 | |
| (714) 962-7701 |
| Full Name | Ronald J Policastro Md Inc |
|---|---|
| Speciality | Internal Medicine - Gastroenterology |
| Location | 18111 Brookhurst St, Fountain Valley, California |
| Authorized Official Name and Position | Ronald J Policastro (GASTROENTEROLOGIST) |
| Authorized Official Contact | 7149627705 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ronald J Policastro Md Inc 18111 Brookhurst St Suite 5200 Fountain Valley CA 92708-6728 Ph: (714) 962-7705 | Ronald J Policastro Md Inc 18111 Brookhurst St Suite 5200 Fountain Valley CA 92708-6728 Ph: (714) 962-7705 |
| NPI Number | 1538248547 |
|---|---|
| Provider Enumeration Date | 11/02/2006 |
| Last Update Date | 06/14/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538248547 | NPI | - | NPPES |
| 00G406870 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | G40687 (California) | Primary |
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