RONALD MAR T ATILLO, AG-ACNP-BC, Acute Care SAN DIEGO, CA

Contact Information

RONALD MAR T ATILLO, AG-ACNP-BC

200 W ARBOR DR
SAN DIEGO, CA 92103-9000

Phone: 800-926-8273
Fax:
Website:

Specialty	Taxonomy Code	Specialty Code	Provider Type
Acute Care	363LA2100X	50	Nurse Practitioner
Gerontology	363LG0600X	50	Nurse Practitioner
Nephrology	207RN0300X	11	Physician/Internal Medicine

Indicates primary specialty

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NPI Profile & details for RONALD MAR T ATILLO · (Male)

NPI #	`1346747391`
Status	Active
Credentials	AG-ACNP-BC
Entity	Individual
Enumeration date	04/06/2018
Last updated	05/31/2022 - About 4 years ago
Sole proprietor ¹	Yes
Identifiers	CA License # 95008863 CA Other 2000070078 AMERICAN ASSOCIATION OF CRITICAL CARE NURSES CA Other 768953 BOARD OF NURSING CA Other 95008863 CALIFORNIA BOARD OF NURSING CA Other 95008863 FURNISHING NUMBER
Hospital affiliation(s)	LOMA LINDA UNIVERSITY MEDICAL CENTER-MURRIETA - (Acute Care) 28062 BAXTER ROAD MURRIETA, CA 92563

¹ A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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