Individual
DR. TINA ROOSTA STORAGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2625 W ALAMEDA AVE STE 322, BURBANK, CA 91505-4822
(818) 843-9015
Mailing address
5767 W CENTURY BLVD STE 400, LOS ANGELES, CA 90045-5631
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
A132383
CA
207RG0100X
Gastroenterology Physician
Primary
A132383
CA
Other
Enumeration date
04/17/2013
Last updated
07/01/2019
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