Individual
RONALD ANDIMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
8631 W 3RD ST # 531E, LOS ANGELES, CA 90048-5901
(310) 855-7161
Mailing address
8631 W 3RD ST # 531E, LOS ANGELES, CA 90048-5901
(310) 855-7161
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
G21750
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ZZZ81481Z
—
CA
Enumeration date
03/06/2007
Last updated
12/01/2010
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