Roach, Gavin
Roach, Gavin is an sole proprietor health care provider with primary practice located at 757 Westwood Plz , Los Angeles CA 90095-8358. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Hematology-Oncology, which is considered as his primary health care specialty. Roach, Gavin can be contacted via phone (310) 825-9111.Contact Information
Primary practice address
757 Westwood Plz
Los Angeles CA 90095-8358
Phone: (310) 825-9111
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatric Hematology-Oncology | 2080P0207X | A111923 | California |
Profile Details
| NPI number | 1669634218 |
|---|---|
| LBN Legal business name | Roach, Gavin |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 25th, 2008 |
| Last updated | Dec 9th, 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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