Organization
H. RONALD FISK, M.D., PH.D., A MEDICAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LEILANI LUAS (OFFICE MANAGER)
(310) 657-0942
Entity
Organization
Contact information
Practice address
8631 W 3RD ST, SUITE 620E, LOS ANGELES, CA 90048-5901
(310) 657-0942
(310) 652-2499
Mailing address
8631 W 3RD ST, SUITE 620E, LOS ANGELES, CA 90048-5901
(310) 657-0942
(310) 652-2499
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
G20300
CA
Other
Enumeration date
04/01/2009
Last updated
04/01/2009
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