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RONALD B BUSH MD A PROFESSIONAL CORPORATION NPI 1487825162


NPI Information

NPI: 1487825162
Provider Name: RONALD B BUSH MD A PROFESSIONAL CORPORATION
Classification: Specialist - 174400000X
Entity Type: Organization
Address:
45280 CLUB DR
INDIAN WELLS, CA
ZIP 92210
Phone: (760) 200-2992
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RONALD B BUSH MD A PROFESSIONAL CORPORATION is a specialist in Indian Wells, CA. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. RONALD B BUSH MD A PROFESSIONAL CORPORATION NPI is 1487825162. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

45280 CLUB DR
INDIAN WELLS, CA
ZIP 92210-860
Phone: (760) 200-2992
Fax: (760) 200-2993

The provider's authorized official is Ronald B Bush .
The authorized official title is Owner and has the following contact phone number (760) 200-2992.

The enumeration date for this NPI number is 3/20/2008 and was last updated on 2/28/2013.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1174400000XSpecialistA553069CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1E41799MEDICARE UPINCALIFORNIA
2ZZZ30765ZMEDICARE PINCALIFORNIA
300A5530691MEDICAIDCALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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