Provider Demographics
NPI:1730073784
Name:JOSHUA A. RONEN, MD, INC
Entity type:Organization
Organization Name:JOSHUA A. RONEN, MD, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:JOSHUA
Authorized Official - Middle Name:ALEXANDER
Authorized Official - Last Name:RONEN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:408-608-7885
Mailing Address - Street 1:4636 CAHUENGA BLVD APT 302
Mailing Address - Street 2:
Mailing Address - City:TOLUCA LAKE
Mailing Address - State:CA
Mailing Address - Zip Code:91602-1594
Mailing Address - Country:US
Mailing Address - Phone:323-682-0039
Mailing Address - Fax:404-207-1255
Practice Address - Street 1:177 E COLORADO BLVD STE 200
Practice Address - Street 2:
Practice Address - City:PASADENA
Practice Address - State:CA
Practice Address - Zip Code:91105-1955
Practice Address - Country:US
Practice Address - Phone:323-682-0039
Practice Address - Fax:404-207-1255
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-06-04
Last Update Date:2025-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes302R00000XManaged Care OrganizationsHealth Maintenance Organization