Donenfeld, Roger Frederic

Donenfeld, Roger Frederic is an sole proprietor health care provider with primary practice located at 4650 Lincoln Blvd , Marina Del Rey CA 90292-6306. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Donenfeld, Roger Frederic can be contacted via phone (310) 821-5510.

Contact Information

Primary practice address
4650 Lincoln Blvd Marina Del Rey CA 90292-6306
Phone: (310) 821-5510
Fax: (310) 822-1826
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X G48336 California

Profile Details

NPI number 1538182878
LBN Legal business name Donenfeld, Roger Frederic
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 26th, 2006
Last updated Nov 15th, 2010 - about 14 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1538182878 NPPES
California Other 00G483360 BLUE SHIELD
California MEDICAID 00G483360 BLUE SHIELD

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