Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111N00000X | Chiropractor | DC-31307 | CA |
N | 111NN1001X | Nutrition | DC-31307 | CA |
N | 111NP0017X | Pediatric Chiropractor | DC-31307 | CA |
N | 111NR0400X | Rehabilitation Chiropractor | DC-31307 | CA |
N | 111NS0005X | Chiropractic Sports Physician | DC-31307 | CA |
N | 111NX0800X | Chiropractor Orthopedic Specialist | DC-31307 | CA |
NPI | 1346408663 |
---|---|
Provider Name | Dr. Ronald Charles Maugeri |
First Address | Malibu, CA 90264-6247 |
Second Address | Malibu, CA 90265-4854 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 23/05/2008 |
Last Update Date | 18/11/2009 |