RONALD T. MITSUYASU MD – NPI #1376562215
Internal Medicine

An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.

RONALD MITSUYASU is a physician located in LOS ANGELES, CA. NPPES has assigned the NPI number 1376562215 to RONALD MITSUYASU on July 19, 2006. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 207RH0003X from the Health Care Provider Taxonomy code set, which is classified as Internal Medicine, specializing in Hematology & Oncology

The NPI profile was previously updated about 16 years ago on Feb 18, 2010. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for RONALD MITSUYASU below.

NPI Profile for
RONALD T. MITSUYASU

NPI Number
1376562215
Enumeration Date

(about 20 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
RONALD T. MITSUYASU
Credentials
MD
Primary location
200 MEDICAL PLAZA
#365,420,120,530
LOS ANGELES, CA 90095
Phone: (310) 794-9718 Fax: (310) 557-1899
Mailing address
5767 W CENTURY BLVD
SUITE 200
LOS ANGELES, CA 90045-5632
Phone: (310) 557-1891 Fax: (310) 557-1899
Sole Proprietor
No
Updated
Identifiers

Identifiers for RONALD MITSUYASU

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDCA00G446850
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207RH0003X
- Internal Medicine / Hematology & Oncology (Primary)
CA G44685

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.