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Individual

MR. JOHN MARTIN ROESLER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
24025 PARK SORRENTO, SUITE 405, CALABASAS, CA 91302
(818) 609-7200
(855) 754-3775
Mailing address
24025 PARK SORRENTO, SUITE 405, CALABASAS, CA 91302
(818) 609-7200
(855) 754-3775

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
A72319
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
201118042
TAX ID
CA
Enumeration date
08/05/2006
Last updated
03/31/2021
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