Provider Demographics
NPI:1215029533
Name:CHASES, RONALD L
Entity Type:Individual
Prefix:
First Name:RONALD
Middle Name:L
Last Name:CHASES
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1285
Mailing Address - Street 2:
Mailing Address - City:SOLANA BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:92075-7285
Mailing Address - Country:US
Mailing Address - Phone:858-481-8715
Mailing Address - Fax:858-481-1362
Practice Address - Street 1:621 SEABRIGHT LN
Practice Address - Street 2:
Practice Address - City:SOLANA BEACH
Practice Address - State:CA
Practice Address - Zip Code:92075-1264
Practice Address - Country:US
Practice Address - Phone:858-481-8715
Practice Address - Fax:858-481-1362
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-28
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA0810690001Medicare NSC