Provider Demographics
NPI:1336162957
Name:POPPER, RONALD A (MD FCCP)
Entity Type:Individual
Prefix:DR
First Name:RONALD
Middle Name:A
Last Name:POPPER
Suffix:
Gender:M
Credentials:MD FCCP
Other - Prefix:
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Mailing Address - Street 1:317 S MOORPARK RD
Mailing Address - Street 2:
Mailing Address - City:THOUSAND OAKS
Mailing Address - State:CA
Mailing Address - Zip Code:91361-1008
Mailing Address - Country:US
Mailing Address - Phone:805-557-9930
Mailing Address - Fax:805-557-9940
Practice Address - Street 1:317 S MOORPARK RD
Practice Address - Street 2:
Practice Address - City:THOUSAND OAKS
Practice Address - State:CA
Practice Address - Zip Code:91361-1008
Practice Address - Country:US
Practice Address - Phone:805-557-9930
Practice Address - Fax:805-557-9940
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-25
Last Update Date:2023-07-17
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAA35734207RP1001X, 207RS0012X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RS0012XAllopathic & Osteopathic PhysiciansInternal MedicineSleep Medicine
No207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease