Provider Demographics
NPI:1821053158
Name:BISHOP, RONALD EDWARD (MD)
Entity Type:Individual
Prefix:DR
First Name:RONALD
Middle Name:EDWARD
Last Name:BISHOP
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:PO BOX 4858
Mailing Address - Street 2:
Mailing Address - City:PALOS VERDES PENINSULA
Mailing Address - State:CA
Mailing Address - Zip Code:90274-9636
Mailing Address - Country:US
Mailing Address - Phone:310-781-3789
Mailing Address - Fax:310-377-1819
Practice Address - Street 1:880 S ATLANTIC BLVD
Practice Address - Street 2:SUITE 205
Practice Address - City:MONTEREY PARK
Practice Address - State:CA
Practice Address - Zip Code:91754-4700
Practice Address - Country:US
Practice Address - Phone:626-289-0178
Practice Address - Fax:626-308-2083
Is Sole Proprietor?:No
Enumeration Date:2006-04-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAA60758207LP2900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207LP2900XAllopathic & Osteopathic PhysiciansAnesthesiologyPain Medicine