Policastro, Ronald J

Policastro, Ronald J is an individual health care provider with primary practice located at 18111 Brookhurst St Ste 5200, Fountain Valley CA 92708-6728. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Policastro, Ronald J can be contacted via phone (714) 962-7705.

Contact Information

Primary practice address
18111 Brookhurst St Ste 5200 Fountain Valley CA 92708-6728
Phone: (714) 962-7705
Fax: (714) 962-7701
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X G40687 California

Profile Details

NPI number 1962671636
LBN Legal business name Policastro, Ronald J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 26th, 2008
Last updated Jul 23rd, 2010 - about 16 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 1962671636 NPPES
California MEDICAID 00G406870

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