MEDICARE: MR. RONALD WAYNE APPEL LCSW

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker	LCS18342	CA

General Provider Information

NPI Number	:	1538288154
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. RONALD WAYNE APPEL LCSW

Provider Business Mailing Address
First Line	:	417 CALIFORNIA ST
Second Line	:	UNIT 'B'
City	:	ARCADIA
State	:	CA
Zip	:	91006-6205
Country	:	US
Telephone Number	:	213-580-6446
Fax Number	:

Provider Business Practice Location Address
First Line	:	1200 COLTON ST
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90026-5816
Country	:	US
Telephone Number	:	213-580-6446
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/28/2007
Last Update Date	:	08/12/2011

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