Provider Demographics
NPI:1053302000
Name:KAUFMAN, RONALD L (MD)
Entity type:Individual
Prefix:DR
First Name:RONALD
Middle Name:L
Last Name:KAUFMAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:3 IMPERIAL PROMENADE
Mailing Address - Street 2:STE 300
Mailing Address - City:SANTA ANA
Mailing Address - State:CA
Mailing Address - Zip Code:92707-5908
Mailing Address - Country:US
Mailing Address - Phone:714-428-6812
Mailing Address - Fax:714-242-7640
Practice Address - Street 1:3 IMPERIAL PROMENADE
Practice Address - Street 2:STE 300
Practice Address - City:SANTA ANA
Practice Address - State:CA
Practice Address - Zip Code:92707-5908
Practice Address - Country:US
Practice Address - Phone:714-428-6812
Practice Address - Fax:714-242-7640
Is Sole Proprietor?:Yes
Enumeration Date:2005-10-31
Last Update Date:2007-08-07
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAA25353207RR0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatology