Individual
RONALD HOMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
757 WESTWOOD PLZ STE 1501, LOS ANGELES, CA 90095-2846
(310) 301-6800
(310) 794-9035
Mailing address
5767 W CENTURY BLVD STE 400, LOS ANGELES, CA 90045-5631
Taxonomy
Speciality
Code
Description
License number
State
2085D0003X
Diagnostic Neuroimaging (Radiology) Physician
Primary
A69300
CA
2085R0202X
Diagnostic Radiology Physician
A69300
CA
Other
Enumeration date
06/19/2006
Last updated
12/13/2019
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