Provider Demographics
NPI:1851494215
Name:GU, RON Y (MD)
Entity Type:Individual
Prefix:MR
First Name:RON
Middle Name:Y
Last Name:GU
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:1850 S AZUSA AVE
Mailing Address - Street 2:SUITE 205
Mailing Address - City:HACIENDA HEIGHTS
Mailing Address - State:CA
Mailing Address - Zip Code:91745
Mailing Address - Country:US
Mailing Address - Phone:626-964-2880
Mailing Address - Fax:626-964-2834
Practice Address - Street 1:1850 S AZUSA AVE
Practice Address - Street 2:SUITE 205
Practice Address - City:HACIENDA HEIGHTS
Practice Address - State:CA
Practice Address - Zip Code:91745
Practice Address - Country:US
Practice Address - Phone:626-964-2880
Practice Address - Fax:626-964-2834
Is Sole Proprietor?:No
Enumeration Date:2006-09-07
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CAA37924207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00A379240Medicaid
CA00A379240Medicaid
WA37924AMedicare ID - Type Unspecified