Cornelsen, Ronald J

Cornelsen, Ronald J is an individual health care provider with primary practice located at 17822 Beach Blvd Suite 278, Huntington Beach CA 92647-7101. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Cornelsen, Ronald J can be contacted via phone (714) 842-1441.

Contact Information

Primary practice address
17822 Beach Blvd Suite 278 Huntington Beach CA 92647-7101
Phone: (714) 842-1441
Fax: (714) 843-0394
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X A20219 California

Profile Details

NPI number 1619905486
LBN Legal business name Cornelsen, Ronald J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 29th, 2006
Last updated Jul 9th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1619905486 NPPES
California MEDICAID GR0025680

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