| Ronald L. Renard Md, Inc. | |
|
1505 Victor Ave Redding CA 96003-4031 | |
| (530) 226-5325 | |
| (530) 226-5367 |
| Full Name | Ronald L. Renard Md, Inc. |
|---|---|
| Speciality | Allergy & Immunology |
| Location | 1505 Victor Ave, Redding, California |
| Authorized Official Name and Position | Ronald Lee Renard (OWNER) |
| Authorized Official Contact | 5302265325 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ronald L. Renard Md, Inc. 1505 Victor Ave Redding CA 96003-4031 Ph: (530) 226-5325 | Ronald L. Renard Md, Inc. 1505 Victor Ave Redding CA 96003-4031 Ph: (530) 226-5325 |
| NPI Number | 1437556644 |
|---|---|
| Provider Enumeration Date | 12/03/2014 |
| Last Update Date | 12/03/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437556644 | NPI | - | NPPES |
| 030000564 | Other | CA | RAILROAD PROVIDER NUMBER |
| 00G364150 | Other | CA | MEDICARE PROVIDER NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | G36415 (California) | Secondary |
| 207K00000X | Allergy & Immunology | G36415 (California) | Primary |
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