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Organization
SAN DIEGO HOSPITALIST ASSOCIATES INC
Active
Organization
SAN DIEGO HOSPITALIST ASSOCIATES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KENNETH J ROTH M.D. (CHIEF EXECUTIVE OFFICER)
(858) 541-0181
Entity
Organization
Contact information
Practice address
7901 FROST ST, SAN DIEGO, CA 92123-2701
(858) 541-0181
(858) 637-9035
Mailing address
8765 AERO DRIVE, SUITE 130, SAN DIEGO, CA 92123-1767
(858) 541-0181
(858) 637-9035
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DO658A
MEDICARE PTAN
CA
Enumeration date
05/07/2010
Last updated
11/11/2024
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