Provider Demographics
NPI:1962833277
Name:PEREA, RONDA (LM)
Entity Type:Individual
Prefix:MS
First Name:RONDA
Middle Name:
Last Name:PEREA
Suffix:
Gender:F
Credentials:LM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:301 VERANO DR APT 23
Mailing Address - Street 2:
Mailing Address - City:SANTA BARBARA
Mailing Address - State:CA
Mailing Address - Zip Code:93110-1421
Mailing Address - Country:US
Mailing Address - Phone:805-570-9900
Mailing Address - Fax:
Practice Address - Street 1:301 VERANO DR APT 23
Practice Address - Street 2:
Practice Address - City:SANTA BARBARA
Practice Address - State:CA
Practice Address - Zip Code:93110-1421
Practice Address - Country:US
Practice Address - Phone:805-570-9900
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-12-12
Last Update Date:2013-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA376176B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes176B00000XOther Service ProvidersMidwife