Rolston, Daniel Mark

Rolston, Daniel Mark is an individual health care provider with primary practice located at 200 Medical Plz Suite 214, Los Angeles CA 90095-0001. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medical Services, which is considered as his primary health care specialty. Rolston, Daniel Mark can be contacted via phone (310) 267-8400.

Contact Information

Primary practice address
200 Medical Plz Suite 214 Los Angeles CA 90095-0001
Phone: (310) 267-8400
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medical Services 207PE0004X A126308 California

Profile Details

NPI number 1245551175
LBN Legal business name Rolston, Daniel Mark
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 15th, 2010
Last updated Apr 22nd, 2015 - about 9 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1245551175 NPPES
California MEDICAID 1245551175

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