Ronald Eric Glousman
Sports Medicine Doctor
999 N Tustin Ave Suite 114
Santa Ana
, California 92705-3528
Ronald Eric Glousman
Sports Medicine Doctor
999 N Tustin Ave Suite 114
Santa Ana
, California 92705-3528
(951) 520-1191
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About
Features
Specialties
- Sports Medicine Doctor
Languages spoken
- English
Location
First Address
- Ronald Eric Glousman
- Po Box 570627
- Tarzana, CA
- Zip : 91357-0627
- Fax : (951) 520-1191
- Phone : (951) 520-1190
Second Address
- Ronald Eric Glousman
- 999 N Tustin Ave Suite 114
- Santa Ana, CA
- Zip : 92705-3528
- Fax : (951) 520-1191
- Phone : (951) 520-1190
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 204C00000X | Sports Medicine Doctor | G45186 | CA |
National Provider Identifier
| NPI | 1104897289 |
|---|---|
| Provider Name | Ronald Eric Glousman |
| First Address | Tarzana, CA 91357-0627 |
| Second Address | Santa Ana, CA 92705-3528 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 27/01/2006 |
| Last Update Date | 23/07/2013 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| A49931 | (02) | CA |
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.