On, Roger C

On, Roger C is an sole proprietor health care provider with primary practice located at 4835 Van Nuys Blvd Ste 208 , Sherman Oaks CA 91403-2142. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. On, Roger C can be contacted via phone (818) 946-2373.

Contact Information

Primary practice address
4835 Van Nuys Blvd Ste 208 Sherman Oaks CA 91403-2142
Phone: (818) 946-2373
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X G40341 California

Profile Details

NPI number 1255334769
LBN Legal business name On, Roger C
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 30th, 2005
Last updated Aug 27th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1255334769 NPPES
California MEDICAID 00G403410
California Other 00G403410

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