1275626202

Everything you always wanted to know about FERDMAN M RONALD MD but were afraid to ask.

FERDMAN M RONALD MD

You can also download the this 1275626202 data report as csv | excel | json | xml
Provider Last Name Provider Middle Name Provider First Name Provider Credential
FERDMAN M RONALD MD
Gender:
Male
Enumeration date:
2006-10-02
Last update date:
2008-05-14
Current as of:
Is sole proprietor?:
No
Is organization subpart?:
No
In PECOS?:
Yes
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Identifiers

identifier description issuer state
F27164 Medicare UPIN none CA
WG64356B Medicare ID-Type Undpecified none CA
00G643560 Medicaid none CA

Taxonomies

Taxonomy State License Number Primary?
2080P0201X Pediatric Allergy/Immunology CA G64356 Y

Phone Numbers

Type Number
Mailing Address Telephone Number 3233612337
Mailing Address Fax Number 3233618491
Practice Location Address Telephone Number 3233612501
Practice Location Address Fax Number 3233614627

Addresses

Type Address City State Postal Country
Mailing Address 6430 W SUNSET BLVD MS# 75 LOS ANGELES CA 90028 CA
Practice Location Address 4650 W SUNSET BLVD SUITE 600 LOS ANGELES CA 0 CA

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Organization
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Organization
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Organization
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Organization
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