Roth, Edwin Isaac

Roth, Edwin Isaac is an sole proprietor health care provider with primary practice located at 73230 Calliandra , Palm Desert CA 92260. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry, Allopathic & Osteopathic Physicians / Psychiatry. Allopathic & Osteopathic Physicians / Psychiatry is his primary health care specialty. Roth, Edwin Isaac can be contacted via phone (760) 341-4642.

Contact Information

Primary practice address
73230 Calliandra Palm Desert CA 92260
Phone: (760) 341-4642
Fax: (760) 346-8787
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry 2084P0804X G81000 California
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X G81000 California
Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry 2084P0804X G8100 California

Profile Details

NPI number 1720104300
LBN Legal business name Roth, Edwin Isaac
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 22nd, 2007
Last updated Jan 7th, 2011 - about 13 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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