MEDICARE: MR. RONALD HURST M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208600000X	Surgery Physician	G76428	CA
2	2086X0206X	Surgical Oncology Physician	G76428	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	GR0078930	OTHER	CA	MCAL GROUP NUMBER

General Provider Information

NPI Number	:	1619069820
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. RONALD HURST M.D.

Provider Business Mailing Address
First Line	:	501 EAST HARDY STREET
Second Line	:	SUITE 210
City	:	INGLEWOOD
State	:	CA
Zip	:	90301-4504
Country	:	US
Telephone Number	:	310-673-4900
Fax Number	:	310-673-1319

Provider Business Practice Location Address
First Line	:	11800 WILSHIRE BLVD
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90025-6602
Country	:	US
Telephone Number	:	310-231-2121
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/28/2006
Last Update Date	:	09/21/2023

Similar Medicare Providers

1992725865 — DR. VI KIEN CHIU M.D., PH.D.
Practice Location Address:

11800 WILSHIRE BLVD FL 3
LOS ANGELES, CA
90025-6602

Practice Phone: 310-582-7900
Practice Fax: 310-582-7946

1124131446 — LAWRENCE D PIRO M.D.
Practice Location Address:

11800 WILSHIRE BLVD
LOS ANGELES, CA
90025-6602

Practice Phone: 310-231-2121
Practice Fax: 310-231-2199

1801092705 — DR. INDERJIT MEHMI M.D.
Practice Location Address:

11800 WILSHIRE BLVD FL 3
LOS ANGELES, CA
90025-6602

Practice Phone: 310-231-2121
Practice Fax: 310-582-7996

1134329378 — SAMUEL JACOB KLEMPNER M.D
Practice Location Address:

11800 WILSHIRE BLVD
LOS ANGELES, CA
90025-6602

Practice Phone: 310-231-2167
Practice Fax: 310-231-2172

1326235995 — DR. ROMA TICKOO M.D., M.P.H.
Practice Location Address:

11800 WILSHIRE BLVD
LOS ANGELES, CA
90025-6602

Practice Phone: 310-582-7900
Practice Fax:

1740505007 — NAVID HAFEZ M.D.
Practice Location Address:

11800 WILSHIRE BLVD
LOS ANGELES, CA
90025-6602

Practice Phone: 310-231-2121
Practice Fax:

Directions to “ MR. RONALD HURST M.D.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.