Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RN0300X | Nephrologist | A72478 | CA |
NPI | 1003998147 |
---|---|
Provider Name | Dr. Ramon Arenas Guadiz |
First Address | Lynwood, CA 90262-3509 |
Second Address | Lynwood, CA 90262-3509 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/10/2006 |
Last Update Date | 20/12/2012 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1609098003 | RENAL MEDICAL ASSOCIATES NPI NUMBER (01) | CA |