Provider Demographics
NPI:1881843555
Name:RONALD HIMELMAN MD
Entity Type:Organization
Organization Name:RONALD HIMELMAN MD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:RONALD
Authorized Official - Middle Name:BARNET
Authorized Official - Last Name:HIMELMAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:760-323-2174
Mailing Address - Street 1:555 E TACHEVAH DR STE 1W202
Mailing Address - Street 2:
Mailing Address - City:PALM SPRINGS
Mailing Address - State:CA
Mailing Address - Zip Code:92262-5785
Mailing Address - Country:US
Mailing Address - Phone:760-323-2174
Mailing Address - Fax:760-864-9826
Practice Address - Street 1:555 E TACHEVAH DR STE 1W202
Practice Address - Street 2:
Practice Address - City:PALM SPRINGS
Practice Address - State:CA
Practice Address - Zip Code:92262-5785
Practice Address - Country:US
Practice Address - Phone:760-323-2174
Practice Address - Fax:760-864-9826
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-09-17
Last Update Date:2009-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG54463207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular DiseaseGroup - Single Specialty