Ronningen, Leland Dale
Ronningen, Leland Dale is an individual health care provider with primary practice located at 101 The City Dr S , Orange CA 92868-3201. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Ronningen, Leland Dale can be contacted via phone (714) 456-6054.Contact Information
Primary practice address
101 The City Dr S
Orange CA 92868-3201
Phone: (714) 456-6054
Fax: (714) 456-5342
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Urology | 208800000X | G85070 | California |
Profile Details
| NPI number | 1164532032 |
|---|---|
| LBN Legal business name | Ronningen, Leland Dale |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 30th, 2006 |
| Last updated | Jul 8th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1164532032 | NPPES |
| California | Other | 00G850700 | BLUE SHIELD |
| California | MEDICAID | 00G850700 | BLUE SHIELD |
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