MR. DALE A VONRUDEN


Address: 921 Longview Ave, Pismo Beach, CA 93449-2430
Phone: 8057731708

MR. DALE A VONRUDEN (NPI# 1750526596) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1750526596
Entity Type Individual
Full Name MR. DALE A VONRUDEN
Credential M.D.
Practice Address 921 Longview Ave
Pismo Beach
CA 93449-2430
Practice Telephone 8057731708
Mailing Telephone 8057731708
Enumeration Date 2008-12-09
Last Update Date 2008-12-09
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 208D00000X General Practice CFE31040 CA Allopathic & Osteopathic Physicians

Office Location

Street Address 921 LONGVIEW AVE
City PISMO BEACH
State CA
Zip Code 93449-2430

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1952621492 Briana Leigh Schiro Counselor 314 El Portal Dr., Suite 100, Pismo Beach, CA 93449 2010-06-07
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Taxonomy Information

Taxonomy Code 208D00000X
Grouping Allopathic & Osteopathic Physicians
Classification General Practice

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1437132727 Lawrence H. Newman, M.d., A Medical Corp General Practice 877 Oak Park Blvd, Pismo Beach, CA 93449-3292 2005-11-21

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Competitor

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City PISMO BEACH
Zip Code 93449

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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