Provider Demographics
NPI:1437294048
Name:ZINNER, RONALD JOSEPH (MD)
Entity Type:Individual
Prefix:
First Name:RONALD
Middle Name:JOSEPH
Last Name:ZINNER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:409 N CAMDEN DR
Mailing Address - Street 2:SUITE 204
Mailing Address - City:BEVERLY HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:90210-4417
Mailing Address - Country:US
Mailing Address - Phone:310-271-0018
Mailing Address - Fax:310-271-0018
Practice Address - Street 1:409 N CAMDEN DR
Practice Address - Street 2:SUITE 204
Practice Address - City:BEVERLY HILLS
Practice Address - State:CA
Practice Address - Zip Code:90210-4417
Practice Address - Country:US
Practice Address - Phone:310-271-0018
Practice Address - Fax:310-271-0018
Is Sole Proprietor?:No
Enumeration Date:2007-02-21
Last Update Date:2013-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA195072084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00A195070Medicaid
A19507Medicare ID - Type Unspecified
A82062Medicare UPIN