| Doctor Name: | DR. RON ALEXANDER BIRNBAUM |
| NPI Number: | 1942412291 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M.D, |
| License Number: | A83358 |
| Business Practice Address: | 1024 W. Carson Los Angeles County Harbor Ucla Medical Center Torrance, CA - 90509 |
| Business Phone Number: | 3107811396 |
| Business Fax Number: | 3107819328 |
| Mailing Address: | 863 Lucile Ave, LOS ANGELES |
| State: | CA |
| Postal Code: | 900261509 |
| Phone Number: | 3105707829 |
| Fax Number: | |
| NPI Enumeration Date: | 05/07/2007 |
| NPI Last Update Date: | 12/23/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | A83358 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | CA |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |