Provider Demographics
NPI:1881639417
Name:LABUGUEN, RONALD HENRY (MD)
Entity type:Individual
Prefix:DR
First Name:RONALD
Middle Name:HENRY
Last Name:LABUGUEN
Suffix:
Gender:M
Credentials:MD
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Other - Credentials:
Mailing Address - Street 1:995 POTRERO AVE
Mailing Address - Street 2:BLDG 80 WARD 83
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94110-2859
Mailing Address - Country:US
Mailing Address - Phone:415-206-8446
Mailing Address - Fax:415-206-8387
Practice Address - Street 1:520 ILLINOIS ST.
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94158
Practice Address - Country:US
Practice Address - Phone:415-353-9414
Practice Address - Fax:415-476-4689
Is Sole Proprietor?:No
Enumeration Date:2006-06-18
Last Update Date:2024-11-04
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CAA81418207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00A814180Medicaid
CAG74005Medicare UPIN
CA00A814180Medicaid