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Organization
WALTER A ROGOFF MD INC
Active
Organization
WALTER A ROGOFF MD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WALTER ROGOFF M.D. (DIRECT OWNER)
(818) 888-7815
Entity
Organization
Contact information
Practice address
465 N ROXBURY DR, #1020, BEVERLY HILLS, CA 90210-4206
(424) 239-5193
Mailing address
PO BOX 7001, TARZANA, CA 91357-7001
(818) 888-7815
(818) 715-1722
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
A42624
CA
207LP2900X
Pain Medicine (Anesthesiology) Physician
A42624
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00A426241
EDS -MCAL
CA
Enumeration date
03/15/2007
Last updated
09/28/2016
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