Rockoff, Mark R
Rockoff, Mark R is an individual health care provider with primary practice located at 18344 Clark Street Suite 101, Tarzana CA 91356. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Nuclear Medicine, Allopathic & Osteopathic Physicians / Diagnostic Radiology. Allopathic & Osteopathic Physicians / Diagnostic Radiology is his primary health care specialty. Rockoff, Mark R can be contacted via phone (818) 881-9811.Contact Information
Primary practice address
18344 Clark Street Suite 101
Tarzana CA 91356
Phone: (818) 881-9811
Fax: (818) 881-1638
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Nuclear Medicine | 207U00000X | G37042 | California |
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | G37042 | California |
Profile Details
| NPI number | 1679513857 |
|---|---|
| LBN Legal business name | Rockoff, Mark R |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 7th, 2006 |
| Last updated | Nov 27th, 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 | 1679513857 | NPPES |
| California | Other | 00G370420 | BLUE SHIELD |
| California | MEDICAID | 00G370420 | BLUE SHIELD |
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