Provider Demographics
NPI:1487236972
Name:REUT RON PAGI MD INC
Entity type:Organization
Organization Name:REUT RON PAGI MD INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/PEDIATRICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:REUT
Authorized Official - Middle Name:RON
Authorized Official - Last Name:PAGI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:310-789-2058
Mailing Address - Street 1:8500 WILSHIRE BLVD STE 917
Mailing Address - Street 2:
Mailing Address - City:BEVERLY HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:90211-3107
Mailing Address - Country:US
Mailing Address - Phone:310-789-2058
Mailing Address - Fax:
Practice Address - Street 1:8500 WILSHIRE BLVD STE 917
Practice Address - Street 2:
Practice Address - City:BEVERLY HILLS
Practice Address - State:CA
Practice Address - Zip Code:90211-3107
Practice Address - Country:US
Practice Address - Phone:310-789-2058
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-04-23
Last Update Date:2022-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Single Specialty
No2080P0210XAllopathic & Osteopathic PhysiciansPediatricsPediatric NephrologyGroup - Multi-Specialty