Roback, Donald Lewis
Roback, Donald Lewis is an individual health care provider with primary practice located at 2200 N Sepulveda Blvd , Manhattan Beach CA 90266-2910. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Roback, Donald Lewis can be contacted via phone (310) 802-0200.Contact Information
Primary practice address
2200 N Sepulveda Blvd
Manhattan Beach CA 90266-2910
Phone: (310) 802-0200
Fax: (310) 794-9035
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | A22819 | California |
Profile Details
NPI number | 1467401240 |
---|---|
LBN Legal business name | Roback, Donald Lewis |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | May 9th, 2006 |
Last updated | Dec 16th, 2019 - 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1467401240 | NPPES |
California | MEDICAID | 00A228190 |
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