John R Roth in Los Angeles - Physician Assistant
John R Roth - NPI 1770767360
John R Roth is a Physician Assistant in Los Angeles, California. John R Roth practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for John R Roth is 1770767360. The last update date is 2022-03-08.
John R Roth's current location address is Po Box 741825, Los Angeles, California. You can contact this provider via phone number 5033628385 and fax number 5033628435. The mailing address for John R Roth is Po Box 741825, Los Angeles, California. To know further, please read the information below!
Provider Profile Detail
Provider Name | John R Roth |
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Address | Po Box 741825, Los Angeles, California |
Phone Number | 5033628385 |
Fax Number | 5033628435 |
Sole Proprietor | N |
Credentials | MPAS, PA-C |
NPI Number Detail
NPI Number | 1770767360 |
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Provider Enumeration Date | 2007-12-19 |
Last Updated Date | 2022-03-08 |
Provider Mailing Address Detail
Address | Po Box 741825 |
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City | Los Angeles |
State | California (CA) |
Post Code | 900741825 |
Phone Number | 5033628385 |
Fax Number | 5033628435 |
Provider's Primary Taxonomy Detail
Speciality | Physician Assistant |
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Taxonomy | 363A00000X |
Licence No | PA01418 |
Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor |
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What is the unique identifier code issued to John R Roth by the Centers for Medicare & Medicaid Services (CMS)?
The John R Roth has been assigned the NPI (National Provider Identifier) 1770767360. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you kindly provide the complete physical address where John R Roth's facilities are geographically located?
The facilities of John R Roth are physically situated at the following location: Po Box 741825, Los Angeles, CA, 900741825.
What is John R Roth's area of expertise and its corresponding taxonomy classification?
The John R Roth's field of specialization is Physician Assistant, and it falls under the taxonomy code 363A00000X, which categorizes healthcare providers based on their areas of practice.
On what date did the Centers for Medicare & Medicaid Services issue the 1770767360 to John R Roth?
The John R Roth received its 1770767360 assignment from the Centers for Medicare & Medicaid Services on 2007-12-19.
When was the information regarding John R Roth most recently updated?
The details pertaining to the John R Roth, including its address, specialty, and other relevant information, were last refreshed on 2022-03-08.