Roth, Raul Fernando

Roth, Raul Fernando is an individual health care provider with primary practice located at 625 S Fair Oaks Ave Suite 215, Pasadena CA 91105-2615. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Roth, Raul Fernando can be contacted via phone (626) 793-4139.

Contact Information

Primary practice address
625 S Fair Oaks Ave Suite 215 Pasadena CA 91105-2615
Fax: (626) 793-4324
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X G56414 California

Profile Details

NPI number 1922050525
LBN Legal business name Roth, Raul Fernando
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 16th, 2006
Last updated Feb 26th, 2020 - about 5 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 1922050525 NPPES
California MEDICAID 00G564140
California Other W2223

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