MEDICARE: DR. RONALD GARY HAYES D.C., L. AC.

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	111N00000X	Chiropractor	DC15230	CA
2	171100000X	Acupuncturist	AC8361	CA

General Provider Information

NPI Number	:	1801969738
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. RONALD GARY HAYES D.C., L. AC.

Provider Business Mailing Address
First Line	:	5151 YORK BLVD
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90042-1715
Country	:	US
Telephone Number	:	323-255-3400
Fax Number	:

Provider Business Practice Location Address
First Line	:	5151 YORK BLVD
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90042-1715
Country	:	US
Telephone Number	:	323-255-3400
Fax Number	:

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

Provider Enumeration Date	:	11/16/2006
Last Update Date	:	08/27/2008

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