Kohl, Roy
Kohl, Roy is an individual health care provider with primary practice located at 10 Congress St Suite 504, Pasadena CA 91105-3045. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Vascular Surgery. Allopathic & Osteopathic Physicians / Vascular Surgery is his primary health care specialty. Kohl, Roy can be contacted via phone (323) 442-5849.Contact Information
Primary practice address
10 Congress St Suite 504
Pasadena CA 91105-3045
Phone: (323) 442-5849
Fax: (323) 442-6798
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | G17126 | California |
| Allopathic & Osteopathic Physicians / Vascular Surgery | 2086S0129X | G17126 | California |
Profile Details
| NPI number | 1871525998 |
|---|---|
| LBN Legal business name | Kohl, Roy |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 7th, 2006 |
| Last updated | Oct 2nd, 2009 - about 15 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 | 1871525998 | NPPES |
| California | Other | 770002257 | MEDICARE RAILROAD |
| California | Other | 00G171260F94 | MEDICARE RAILROAD |
| California | Other | 00G171260C29 | MEDICARE RAILROAD |
| California | Other | 00G171260 | MEDICARE RAILROAD |
| California | MEDICAID | 00G171260 | MEDICARE RAILROAD |
| California | Other | P00416526 | MEDICARE RAILROAD |
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