Provider Demographics
NPI:1134302847
Name:NGAYAN, RONALD (MD)
Entity Type:Individual
Prefix:DR
First Name:RONALD
Middle Name:
Last Name:NGAYAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11514 WIMBLEY CT
Mailing Address - Street 2:
Mailing Address - City:CERRITOS
Mailing Address - State:CA
Mailing Address - Zip Code:90703-1761
Mailing Address - Country:US
Mailing Address - Phone:714-541-5252
Mailing Address - Fax:714-541-1402
Practice Address - Street 1:11514 WIMBLEY CT
Practice Address - Street 2:
Practice Address - City:CERRITOS
Practice Address - State:CA
Practice Address - Zip Code:90703-1761
Practice Address - Country:US
Practice Address - Phone:714-541-5252
Practice Address - Fax:714-541-1402
Is Sole Proprietor?:No
Enumeration Date:2007-12-17
Last Update Date:2021-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH57.013772207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine