Provider Demographics
NPI:1053599969
Name:BRITTON, RON DARNELL
Entity type:Individual
Prefix:MR
First Name:RON
Middle Name:DARNELL
Last Name:BRITTON
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5275 MAKET ST
Mailing Address - Street 2:SUITE E
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92114-2212
Mailing Address - Country:US
Mailing Address - Phone:619-587-6004
Mailing Address - Fax:619-264-0206
Practice Address - Street 1:5275 MARKET ST
Practice Address - Street 2:SUITE E
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92114-2212
Practice Address - Country:US
Practice Address - Phone:619-587-6004
Practice Address - Fax:619-264-0206
Is Sole Proprietor?:No
Enumeration Date:2008-02-01
Last Update Date:2011-05-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA171M00000XOtherMENTAL HEALTH