Kasendorf, Roger Ashley
Kasendorf, Roger Ashley is an sole proprietor health care provider with primary practice located at 9834 Genesee Ave Ste 221 , La Jolla CA 92037-1215. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, Allopathic & Osteopathic Physicians / Pain Medicine. Allopathic & Osteopathic Physicians / Pain Medicine is his primary health care specialty. Kasendorf, Roger Ashley can be contacted via phone (858) 558-1275.Contact Information
Primary practice address
9834 Genesee Ave Ste 221
La Jolla CA 92037-1215
Phone: (858) 558-1275
Fax: (858) 244-0152
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation | 208100000X | 239449-1 | New York |
Allopathic & Osteopathic Physicians / Pain Medicine | 2081P2900X | 20A12928 | California |
Profile Details
NPI number | 1356371884 |
---|---|
LBN Legal business name | Kasendorf, Roger Ashley |
Credentials | Doctor of Osteopathy (DO) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Jul 3rd, 2006 |
Last updated | Aug 15th, 2021 - about 3 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 | 1356371884 | NPPES |
New York | MEDICAID | 02940027 |
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