Provider Demographics
NPI:1346488962
Name:RONALD RIGOR MD INC
Entity Type:Organization
Organization Name:RONALD RIGOR MD INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:RONALD
Authorized Official - Middle Name:O
Authorized Official - Last Name:RIGOR
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:626-844-3884
Mailing Address - Street 1:675 S ARROYO PKWY
Mailing Address - Street 2:SUITE 100-B
Mailing Address - City:PASADENA
Mailing Address - State:CA
Mailing Address - Zip Code:91105-3263
Mailing Address - Country:US
Mailing Address - Phone:626-884-3884
Mailing Address - Fax:
Practice Address - Street 1:675 S ARROYO PKWY
Practice Address - Street 2:SUITE 100-B
Practice Address - City:PASADENA
Practice Address - State:CA
Practice Address - Zip Code:91105-3263
Practice Address - Country:US
Practice Address - Phone:626-884-3884
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-02-04
Last Update Date:2019-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatologyGroup - Single Specialty
No332900000XSuppliersNon-Pharmacy Dispensing SiteGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
BT689AOtherMEDICARE PTAN