Provider Demographics
NPI:1194967141
Name:NAZARIAN, RONEN (MD)
Entity type:Individual
Prefix:DR
First Name:RONEN
Middle Name:
Last Name:NAZARIAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:414 N CAMDEN DR STE 980
Mailing Address - Street 2:
Mailing Address - City:BEVERLY HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:90210-4525
Mailing Address - Country:US
Mailing Address - Phone:310-861-3277
Mailing Address - Fax:424-333-9357
Practice Address - Street 1:414 N CAMDEN DR STE 980
Practice Address - Street 2:
Practice Address - City:BEVERLY HILLS
Practice Address - State:CA
Practice Address - Zip Code:90210-4525
Practice Address - Country:US
Practice Address - Phone:310-861-3277
Practice Address - Fax:424-333-9357
Is Sole Proprietor?:No
Enumeration Date:2009-04-06
Last Update Date:2024-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA137944207Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngology