Roazen, Bernard
Roazen, Bernard is an individual health care provider with primary practice located at 1850 Sullivan Ave #150, Daly City CA 94015-2230. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Roazen, Bernard can be contacted via phone (650) 994-2300.Contact Information
Primary practice address
1850 Sullivan Ave #150
Daly City CA 94015-2230
Phone: (650) 994-2300
Fax: (650) 992-0122
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | C34618 | California |
Profile Details
| NPI number | 1083773030 |
|---|---|
| LBN Legal business name | Roazen, Bernard |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 6th, 2006 |
| Last updated | Jul 8th, 2007 - about 18 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 | 1083773030 | NPPES |
| California | MEDICAID | ZZZ83752Z |
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