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:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1255334769 | NPPES |
California | MEDICAID | 00G403410 | |
California | Other | 00G403410 |
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