Individual
RONALD S KINGSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
555 E HARDY STREET, CENTINELA HOSPITAL MEDICAL CENTER, INGLEWOOD, CA 90301
(310) 673-4660
Mailing address
PO BOX 5686, ORANGE, CA 92863-5686
(888) 598-8819
(714) 571-5055
Taxonomy
Speciality
Code
Description
License number
State
207U00000X
Nuclear Medicine Physician
G36787
CA
2085N0904X
Nuclear Radiology Physician
G36787
CA
2085R0202X
Diagnostic Radiology Physician
Primary
G36787
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00G367870
BLUE SHIELD
—
05
—
00G367870
—
CA
01
—
00G367870E02
CALOPTIMA
—
01
—
050739CA46805
TRAILBLAZER
—
01
—
360002841
RAILROAD MEDICARE
—
Enumeration date
12/15/2005
Last updated
08/15/2008
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