MEDICARE: RONAM MANAGEMENT, INC

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	332B00000X	Durable Medical Equipment & Medical Supplies	PHA420630	CA
2	3336C0003X	Community/Retail Pharmacy	PHA420630	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1881623999
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	RONAM MANAGEMENT, INC

Provider Business Mailing Address
First Line	:	2361 NORTHGATE BLVD
Second Line	:
City	:	SACRAMENTO
State	:	CA
Zip	:	95833-2504
Country	:	US
Telephone Number	:	916-922-9392
Fax Number	:	916-922-2444

Provider Business Practice Location Address
First Line	:	2361 NORTHGATE BLVD
Second Line	:
City	:	SACRAMENTO
State	:	CA
Zip	:	95833-2504
Country	:	US
Telephone Number	:	916-922-9392
Fax Number	:	916-922-2444

Authorized Official
Title or Position	:	OWNER
Name	:	MRS. MARYANN NOVOTNY
Credential	:
Telephone Number	:	916-922-9392

Provider Enumeration Date	:	07/01/2006
Last Update Date	:	02/04/2008

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Directions to “RONAM MANAGEMENT, INC ” Practice Location

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