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Organization

ROGER JOSEPH MAH CORPORATION

Active
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Organization

ROGER JOSEPH MAH CORPORATION

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ROGER J MAH M.D. (PRESIDENT/SOLE OWNER)
(123) 456-7890
Entity
Organization

Contact information

Practice address
2121 SANTA MONICA BLVD, SANTA MONICA, CA 90404-2303
(310) 829-5511
Mailing address
2476 OVERLAND AVE STE 201, LOS ANGELES, CA 90064-3374

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
G77107
CA

Other

Enumeration date
04/09/2013
Last updated
04/17/2024
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