Der, Roger E
Der, Roger E is an sole proprietor health care provider with primary practice located at 23845 Mcbean Pkwy , Valencia CA 91355-2001. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, which is considered as his primary health care specialty. Der, Roger E can be contacted via phone (661) 253-8504.Contact Information
Primary practice address
23845 Mcbean Pkwy
Valencia CA 91355-2001
Phone: (661) 253-8504
Fax: (661) 253-8647
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology | 207ZP0102X | A65753 | California |
Profile Details
| NPI number | 1558355156 |
|---|---|
| LBN Legal business name | Der, Roger E |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 9th, 2005 |
| Last updated | May 10th, 2011 - about 13 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 | 1558355156 | NPPES |
| California | MEDICAID | 00A657530 |
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