Doctor Name: | RONALD W STRAHAN |
NPI Number: | 1023214954 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | C28592 |
Business Practice Address: | 1260 15th St Suite 600 Santa Monica, CA - 904041135 |
Business Phone Number: | 3103940500 |
Business Fax Number: | 3104715788 |
Mailing Address: | 289 N Tigertail Rd, LOS ANGELES |
State: | CA |
Postal Code: | 900492803 |
Phone Number: | 3109256425 |
Fax Number: | 3104723965 |
NPI Enumeration Date: | 06/26/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | C28592 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |