MEDICARE: RONMOE INC

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	225400000X	Rehabilitation Practitioner

General Provider Information

NPI Number	:	1720610421
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	RONMOE INC

Provider Business Mailing Address
First Line	:	11226 PICKFORD ST
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90064-3121
Country	:	US
Telephone Number	:	310-429-2514
Fax Number	:

Provider Business Practice Location Address
First Line	:	2025 WESTWOOD BLVD
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90025-6328
Country	:	US
Telephone Number	:	424-832-7323
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	RONDA L. PIERCE
Credential	:
Telephone Number	:	310-429-2514

Provider Enumeration Date	:	02/10/2020
Last Update Date	:	02/10/2020

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Directions to “RONMOE INC ” Practice Location

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