H. Ronald Fisk, M.D., PH.D., a Medical Corporation

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

License

G20300 Issued in CA

Legal business name

H. RONALD FISK, M.D., PH.D., A MEDICAL CORPORATION

Practice address

8631 W 3Rd St
Suite 620E
Los Angeles, CA 90048-5901

Phone

(310) 657-0942

Fax

(310) 652-2499

NPI assigned

Apr 1, 2009

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Leilani Luas

Title

Office Manager

Phone

(310) 657-0942

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Clarke David Espy, MD

  • Specialist
  • Los Angeles, CA
  • NPI 1043235922
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1238544000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1238544000000",
    "number": "1184866469",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8631 W 3RD ST",
            "address_2": "SUITE 620E",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900485901",
            "telephone_number": "310-657-0942",
            "fax_number": "310-652-2499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8631 W 3RD ST",
            "address_2": "SUITE 620E",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900485901",
            "telephone_number": "310-657-0942",
            "fax_number": "310-652-2499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "H. RONALD FISK, M.D., PH.D., A MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-01",
        "last_updated": "2009-04-01",
        "status": "A",
        "authorized_official_last_name": "LUAS",
        "authorized_official_first_name": "LEILANI",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "310-657-0942"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "CA",
            "license": "G20300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• H Michael Mynatt M D Inc
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• H Street Clinic
• H.a.H. Incorporated
• H.Claude Hudson
• H.Tahmassian DMD a Profesional Dental Corporation
• H&S Medical Transportation, Inc.
• H&V Hospice Care, Inc.

• Neurology Physician in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Neurology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.