Ronald J Otto in Riverside - Diagnostic Radiology
Ronald J Otto - NPI 1710988647
Ronald J Otto is a Diagnostic Radiology in Riverside, California. Ronald J Otto practices all healthcare services and medical treatments related to Diagnostic Radiology. The NPI Number for Ronald J Otto is 1710988647. The last update date is 2008-06-16.
Ronald J Otto's current location address is 4445 Magnolia Ave, Riverside, California. You can contact this provider via phone number 9517883400 and fax number 9517883194. The mailing address for Ronald J Otto is 4445 Magnolia Ave, Riverside, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Ronald J Otto |
|---|---|
| Address | 4445 Magnolia Ave, Riverside, California |
| Phone Number | 9517883400 |
| Fax Number | 9517883194 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1710988647 |
|---|---|
| Provider Enumeration Date | 2005-08-02 |
| Last Updated Date | 2008-06-16 |
Provider Mailing Address Detail
| Address | 4445 Magnolia Ave |
|---|---|
| City | Riverside |
| State | California (CA) |
| Post Code | 925014135 |
| Phone Number | 9517883400 |
| Fax Number | 9517883194 |
Provider's Primary Taxonomy Detail
| Speciality | Diagnostic Radiology |
|---|---|
| Taxonomy | 2085R0202X |
| Licence No | G51511 |
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Definition: A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 00G515110 | CA | -- | |
| 9515110 | CA | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Ronald J Otto by the Centers for Medicare & Medicaid Services?
The Ronald J Otto has been issued the NPI (National Provider Identifier) 1710988647 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Ronald J Otto?
The Ronald J Otto is physically situated at 4445 Magnolia Ave, in the city of Riverside, state of CA, with the postal code 925014135.
What is the area of specialization for Ronald J Otto, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Ronald J Otto is Diagnostic Radiology, and the corresponding taxonomy code that categorizes this area of expertise is 2085R0202X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1710988647 to Ronald J Otto?
The Centers for Medicare & Medicaid Services originally issued the 1710988647 to Ronald J Otto on 2005-08-02.
As of what date were the details related to Ronald J Otto most recently updated or revised?
The information pertaining to Ronald J Otto, including its address, specialty, and other relevant details, was last updated or revised on 2008-06-16.
NPI Number: 1336142389
Address: Po Box 2004, East Syracuse, NY