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General NPI Number Information
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NPI Number | 1386865988
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Entity Type | Individual
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Provider Name | EYAL RON M.D.
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Gender | Male
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Dates
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Enumeration Date | 05/01/2007
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Last Update Date | 06/28/2018
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Provider Practice Location Address
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Address Line | 325 SOUTHRIDGE DR
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City | OAK PARK
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State | CA
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Zip | 91377
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Country | US
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Telephone | 818-865-8535
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Fax |
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Provider Business Mailing Address
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Address Line | 7505 METRO BLVD SUITE 400
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City | EDINA
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State | MN
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Zip | 55439-3081
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Country | US
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Telephone | 612-573-2200
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Fax | 612-573-2274
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | 87286
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | 59975
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License Number State | MN
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