Roger Bertoldi Md Professional Corporation

LBN: Roger Bertoldi Md Professional Corporation
Roger Bertoldi Md Professional Corporation is an health care organization with primary practice located at 8610 S. Sepulveda Blvd. , Los Angeles CA 90045. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Clinical Neurophysiology, which is considered as the primary health care specialty. Roger Bertoldi Md Professional Corporation can be contacted via phone (310) 670-5555, or through Bertoldi, Roger V via phone (310) 670-5555.

Contact Information

Primary practice address
8610 S. Sepulveda Blvd. Los Angeles CA 90045
Fax: (310) 670-9222
Website:
Authorized official contact:
Name: Bertoldi, Roger V Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Clinical Neurophysiology 2084N0600X A40519 California

Profile Details

NPI number 1952629263
LBN Legal business name Roger Bertoldi Md Professional Corporation
DBA Doing business as
Authorized official Bertoldi, Roger V Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date May 11th, 2010
Last updated Mar 19th, 2015 - about 9 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1952629263 NPPES
California MEDICAID 008405191

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