Dr. Kevin John Ronan
Pediatrician Adolescent Medicine
1000 Vale Terrace Dr
Vista
, California 92084-5218
Dr. Kevin John Ronan
Pediatrician Adolescent Medicine
1000 Vale Terrace Dr
Vista
, California 92084-5218
(760) 631-5000
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About
Features
Specialties
- Pediatrician
- Adolescent Medicine
Languages spoken
- English
Location
First Address
- Dr. Kevin John Ronan
- 1000 Vale Terrace Dr
- Vista, CA
- Zip : 92084-5218
- Phone : (760) 631-5000
Second Address
- Dr. Kevin John Ronan
- 1000 Vale Terrace Dr
- Vista, CA
- Zip : 92084-5218
- Phone : (760) 631-5000
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 208000000X | Pediatrician | G77176 | CA |
| N | 2080A0000X | Adolescent Medicine | G77176 | CA |
National Provider Identifier
| NPI | 1225017353 |
|---|---|
| Provider Name | Dr. Kevin John Ronan |
| First Address | Vista, CA 92084-5218 |
| Second Address | Vista, CA 92084-5218 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 17/01/2006 |
| Last Update Date | 22/08/2014 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.