Individual
MR. RONALD HURST
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
11800 WILSHIRE BLVD, LOS ANGELES, CA 90025-6602
(310) 231-2121
Mailing address
501 EAST HARDY STREET, SUITE 210, INGLEWOOD, CA 90301-4504
(310) 673-4900
(310) 673-1319
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
G76428
CA
2086X0206X
Surgical Oncology Physician
Primary
G76428
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
GR0078930
MCAL GROUP NUMBER
CA
Enumeration date
09/28/2006
Last updated
09/21/2023
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