Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RC0000X | Internist - Cardiovascular Disease | G16068 | CA |
NPI | 1023008315 |
---|---|
Provider Name | Dr. Isadore Ronald Unger |
First Address | El Cajon, CA 92021-5211 |
Second Address | El Cajon, CA 92021-5211 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/10/2005 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
A90406 | (02) |