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
Phone: (323) 442-5100
Fax:
Website:
Health care specialties
Specialty | Code | License # | 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 5 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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