Provider Demographics
NPI:1063464790
Name:RONALD E SNEIDER MD INC
Entity Type:Organization
Organization Name:RONALD E SNEIDER MD INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:RONALD
Authorized Official - Middle Name:E
Authorized Official - Last Name:SNEIDER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:760-346-7336
Mailing Address - Street 1:39000 BOB HOPE DR
Mailing Address - Street 2:KIEWIT BLDG STE K-214
Mailing Address - City:RANCHO MIRAGE
Mailing Address - State:CA
Mailing Address - Zip Code:92270
Mailing Address - Country:US
Mailing Address - Phone:760-346-7336
Mailing Address - Fax:760-568-2947
Practice Address - Street 1:39000 BOB HOPE DR
Practice Address - Street 2:KIEWIT BLDG STE K-214
Practice Address - City:RANCHO MIRAGE
Practice Address - State:CA
Practice Address - Zip Code:92270
Practice Address - Country:US
Practice Address - Phone:760-346-7336
Practice Address - Fax:760-568-2947
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-17
Last Update Date:2008-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA00G35100207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary DiseaseGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00G35100Medicaid
CA00G351000Medicare ID - Type Unspecified
CA00G35100Medicaid
CAZZZ06332ZMedicare PIN