Provider Demographics
NPI:1801969738
Name:HAYES, RONALD GARY (DC, L AC)
Entity type:Individual
Prefix:DR
First Name:RONALD
Middle Name:GARY
Last Name:HAYES
Suffix:
Gender:M
Credentials:DC, L AC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5151 YORK BLVD
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90042-1715
Mailing Address - Country:US
Mailing Address - Phone:323-255-3400
Mailing Address - Fax:
Practice Address - Street 1:5151 YORK BLVD
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90042-1715
Practice Address - Country:US
Practice Address - Phone:323-255-3400
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-16
Last Update Date:2008-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC15230111N00000X
CAAC8361171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
No171100000XOther Service ProvidersAcupuncturist