Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207XS0106X | Orthopaedic Hand Surgeon | G52526 | CA |
NPI | 1326399247 |
---|---|
Provider Name | Ronald K. Freund |
First Address | Santa Monica, CA 90401-2605 |
Second Address | Santa Monica, CA 90401-2605 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 02/10/2012 |
Last Update Date | 06/02/2013 |