Jutabha, Rome

Jutabha, Rome is an individual health care provider with primary practice located at 1520 San Pablo St Ste 1000 , Los Angeles CA 90033-5312. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Gastroenterology. Allopathic & Osteopathic Physicians / Gastroenterology is his primary health care specialty. Jutabha, Rome can be contacted via phone (323) 442-5100.

Contact Information

Primary practice address
1520 San Pablo St Ste 1000 Los Angeles CA 90033-5312
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X G68613 California
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X G68613 California

Profile Details

NPI number 1790785434
LBN Legal business name Jutabha, Rome
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 22nd, 2005
Last updated Dec 4th, 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.

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