Provider Demographics
NPI:1821326992
Name:GOLD, RONALD HARVEY (MD)
Entity Type:Individual
Prefix:
First Name:RONALD
Middle Name:HARVEY
Last Name:GOLD
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 1:2811 VIA POSADA
Mailing Address - Street 2:
Mailing Address - City:LA JOLLA
Mailing Address - State:CA
Mailing Address - Zip Code:92037-2205
Mailing Address - Country:US
Mailing Address - Phone:858-453-6881
Mailing Address - Fax:858-453-1059
Practice Address - Street 1:2811 VIA POSADA
Practice Address - Street 2:
Practice Address - City:LA JOLLA
Practice Address - State:CA
Practice Address - Zip Code:92037-2205
Practice Address - Country:US
Practice Address - Phone:858-453-6881
Practice Address - Fax:858-453-1059
Is Sole Proprietor?:Yes
Enumeration Date:2009-11-30
Last Update Date:2009-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG290072084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry