Individual
BERNARD ROAZEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1850 SULLIVAN AVE, #150, DALY CITY, CA 94015-2230
(650) 994-2300
(650) 992-0122
Mailing address
1850 SULLIVAN AVE, #150, DALY CITY, CA 94015-2230
(650) 994-2300
(650) 992-0122
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
C34618
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ZZZ83752Z
—
CA
Enumeration date
12/06/2006
Last updated
07/08/2007
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