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Organization
SAN DIEGO SPECIALISTS KENNETH J ROTH GEN PTR
Active
Organization
SAN DIEGO SPECIALISTS KENNETH J ROTH GEN PTR
Active
Other names
San Diego Specialists
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KENNETH J ROTH MD (GENERAL PARTNER)
(858) 541-0181
Entity
Organization
Contact information
Practice address
8765 AERO DR STE 130, SAN DIEGO, CA 92123-1767
(858) 541-0181
(858) 715-3809
Mailing address
8765 AERO DR STE 130, SAN DIEGO, CA 92123-1767
(858) 541-0181
(858) 715-3809
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
06/25/2019
Last updated
08/01/2022
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