Roger Y Takla M.D. Inc.

LBN: Roger Y Takla M.D. Inc.
Roger Y Takla M.D. Inc. is an health care organization with primary practice located at 1040 Elm Ave Suite 301, Long Beach CA 90813-3267. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as the primary health care specialty. Roger Y Takla M.D. Inc. can be contacted via phone (562) 491-9001, or through Takla, Roger Y. via phone (562) 491-9001.

Contact Information

Primary practice address
1040 Elm Ave Suite 301 Long Beach CA 90813-3267
Phone: (562) 491-9001
Fax: (562) 491-9283
Website:
Map and Directions
Authorized official contact:
Name: Takla, Roger Y. Doctor of Medicine (MD)
Phone: (562) 491-9001

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X A29866 California
Allopathic & Osteopathic Physicians / Pediatrics 208000000X A43079 California

Profile Details

NPI number 1275608895
LBN Legal business name Roger Y Takla M.D. Inc.
DBA Doing business as
Authorized official Takla, Roger Y. Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Nov 21st, 2006
Last updated Oct 29th, 2012 - about 12 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 1275608895 NPPES
California Other GR0024690 CHDP PROVIDER

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