# TIFFANY ROGERS, MD, MPT, INC.

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** TIFFANY ROGERS, MD, MPT, INC.
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1699050344
- **Legal business name:** TIFFANY ROGERS, MD, MPT, INC.
- **Authorized official:** TIFFANY ROGERS MD (OWNER)
- **Authorized official phone:** (310) 316-6190

## Contact information

- **Practice address:** 23456 HAWTHORNE BLVD, SUITE 300, TORRANCE, CA 90505-4716
- **Practice address phone:** (310) 316-6190
- **Mailing address:** 2980 N BEVERLY GLEN CIR, SUITE 100, LOS ANGELES, CA 90077-1726
- **Mailing address phone:** (310) 474-9809
- **Mailing address fax:** (888) 431-8819

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332900000X | Non-Pharmacy Dispensing Site | — | NULL | Yes |

## Other

- **Enumeration date:** 10/13/2011
- **Last updated:** 10/05/2015