Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RR0500X | Rheumatology | A25353 | CA |
NPI | 1053302000 |
---|---|
Provider Name | Dr. Ronald L Kaufman |
First Address | Santa Ana, CA 92707-5908 |
Second Address | Santa Ana, CA 92707-5908 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 31/10/2005 |
Last Update Date | 07/08/2007 |