Roque, Katherine

Roque, Katherine is an individual health care provider with primary practice located at 9375 San Fernando Rd , Sun Valley CA 91352-1418. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Roque, Katherine can be contacted via phone (818) 768-3000.

Contact Information

Primary practice address
9375 San Fernando Rd Sun Valley CA 91352-1418
Phone: (818) 768-3000
Fax: (818) 504-4690
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X A92731 California

Profile Details

NPI number 1770528226
LBN Legal business name Roque, Katherine
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 18th, 2006
Last updated Jul 8th, 2007 - about 17 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 1770528226 NPPES
California MEDICAID 00A927310

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