Bertoldi, Roger Victor
Bertoldi, Roger Victor is an sole proprietor health care provider with primary practice located at 300 Ucla Medical Plz Ste B200 , Los Angeles CA 90095-4008. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as his primary health care specialty. Bertoldi, Roger Victor can be contacted via phone (310) 794-1195.Contact Information
Primary practice address
300 Ucla Medical Plz Ste B200
Los Angeles CA 90095-4008
Phone: (310) 794-1195
Fax: (310) 794-7491
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | A40519 | California |
Profile Details
| NPI number | 1164447082 |
|---|---|
| LBN Legal business name | Bertoldi, Roger Victor |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 13th, 2006 |
| Last updated | Jan 15th, 2020 - about 4 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1164447082 | NPPES |
| California | Other | 00A405190 | MEDICAL PPIN # |
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