Roth, Evelyn

Roth, Evelyn is an sole proprietor health care provider with primary practice located at 191 Argonne Ave , Long Beach CA 90803-3231. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Obstetrics & Gynecology, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is her primary health care specialty. Roth, Evelyn can be contacted via phone (562) 434-6007.

Contact Information

Primary practice address
191 Argonne Ave Long Beach CA 90803-3231
Phone: (562) 434-6007
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Obstetrics & Gynecology 363LX0001X 814703 California
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X NP95008456 California

Profile Details

NPI number 1548751969
LBN Legal business name Roth, Evelyn
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 21st, 2018
Last updated Mar 7th, 2023 - about last year

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 1548751969 NPPES
California Other NP95008456 CA BRN

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