Provider Demographics
NPI:1598776254
Name:FARRAN, RONALD DENIS (MD,)
Entity Type:Individual
Prefix:DR
First Name:RONALD
Middle Name:DENIS
Last Name:FARRAN
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 1:23560 MADISON ST
Mailing Address - Street 2:SUITE 205
Mailing Address - City:TORRANCE
Mailing Address - State:CA
Mailing Address - Zip Code:90505-4708
Mailing Address - Country:US
Mailing Address - Phone:310-530-8822
Mailing Address - Fax:310-530-0288
Practice Address - Street 1:23560 MADISON ST
Practice Address - Street 2:SUITE 205
Practice Address - City:TORRANCE
Practice Address - State:CA
Practice Address - Zip Code:90505-4708
Practice Address - Country:US
Practice Address - Phone:310-530-8822
Practice Address - Fax:310-530-0288
Is Sole Proprietor?:No
Enumeration Date:2006-08-10
Last Update Date:2007-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAC30866174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAC30866Medicare PIN
CAA34388Medicare UPIN