Rotenberg, Samuel
Rotenberg, Samuel is an individual health care provider with primary practice located at 2675 E Slavson Avenue , Huntington Park CA 90255. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Rotenberg, Samuel can be contacted via phone (323) 589-6681.Contact Information
Primary practice address
2675 E Slavson Avenue
Huntington Park CA 90255
Phone: (323) 589-6681
Fax: (323) 584-2505
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | C30586 | California |
Profile Details
| NPI number | 1639145600 |
|---|---|
| LBN Legal business name | Rotenberg, Samuel |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 28th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1639145600 | NPPES |
| California | MEDICAID | GR0040370 |
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