Provider Demographics
NPI:1891812350
Name:MCGEE, RONALD K (MD)
Entity type:Individual
Prefix:DR
First Name:RONALD
Middle Name:K
Last Name:MCGEE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:3553 CAMINO MIRA COSTA
Mailing Address - Street 2:SUITE A
Mailing Address - City:SAN CLEMENTE
Mailing Address - State:CA
Mailing Address - Zip Code:92672-3512
Mailing Address - Country:US
Mailing Address - Phone:949-661-6001
Mailing Address - Fax:949-661-8353
Practice Address - Street 1:3553 CAMINO MIRA COSTA
Practice Address - Street 2:SUITE A
Practice Address - City:SAN CLEMENTE
Practice Address - State:CA
Practice Address - Zip Code:92672-3512
Practice Address - Country:US
Practice Address - Phone:949-661-6001
Practice Address - Fax:949-661-8353
Is Sole Proprietor?:No
Enumeration Date:2007-03-22
Last Update Date:2010-11-24
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAG26491207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAA43017Medicare UPIN
CAWG26491DMedicare ID - Type UnspecifiedMEDICARE PROVIDER NUMBER