Fisk, Harris Ronald
Fisk, Harris Ronald is an sole proprietor health care provider with primary practice located at 8631 W 3Rd St Suite 620E, Los Angeles CA 90048-5901. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Neurology, Allopathic & Osteopathic Physicians / Neurological Surgery. Allopathic & Osteopathic Physicians / Neurology is his primary health care specialty. Fisk, Harris Ronald can be contacted via phone (310) 657-0942.Contact Information
Primary practice address
8631 W 3Rd St Suite 620E
Los Angeles CA 90048-5901
Phone: (310) 657-0942
Fax: (310) 652-2499
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | G20300 | California |
| Allopathic & Osteopathic Physicians / Neurological Surgery | 207T00000X | G20300 | California |
Profile Details
| NPI number | 1386669190 |
|---|---|
| LBN Legal business name | Fisk, Harris Ronald |
| Credentials | MD PHD |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 13th, 2006 |
| Last updated | Aug 28th, 2009 - about 15 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1386669190 | NPPES |
| California | MEDICAID | HG20300A |
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