Individual
DAVID WAYNE ROGERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
15107 VANOWEN ST, VAN NUYS, CA 91405-4542
(818) 902-2961
(818) 902-3903
Mailing address
PO BOX 10076, VAN NUYS, CA 91410-0076
(805) 578-8300
(805) 578-8950
Taxonomy
Speciality
Code
Description
License number
State
207ZC0500X
Cytopathology Physician
Primary
G31138
CA
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
G31138
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G311380
—
CA
Enumeration date
05/30/2006
Last updated
09/11/2025
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