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
Phone: (626) 793-4139
Fax: (626) 793-4324
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1922050525 | NPPES |
California | MEDICAID | 00G564140 | |
California | Other | W2223 |
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