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Ronald Yusi Bangsil

Family Medicine

Allopathic & Osteopathic Physicians

2501 Harbor Blvd, Costa Mesa, CA 92626-6143

PECOS Enrollment

This provider is enrolled in PECOS as RONALD BANGSIL.

Based on the most recent information from CMS, provider Ronald Yusi Bangsil is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records yesterday at 11:51 AM.

Profile Details

Provider ID
1043261654
Provider Type
Individual
Full Name
Bangsil, Ronald Yusi
Title
Dr.
Credential
MD

Gender
Male
Sole Proprietor
Yes
Enumeration Date
5/16/2006
Last Updated
3/7/2023

Contact Information

Practice Location

2501 Harbor Blvd, Costa Mesa, CA 92626-6143

(714) 327-6806

Unlisted Fax

Mailing Location

21 Mariner Cv, Buena Park, CA 90621-1662

(714) 226-0770

(714) 489-2170

Provider Taxonomies

Code	Description	License
Code 207Q00000X Primary	Description Family Medicine Allopathic & Osteopathic Physicians	License A66106 California

Ronald Yusi Bangsil

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

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