Organization
EPIGENESIS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
A. J. ROGERS M.D. (CEO)
(951) 367-7600
Entity
Organization
Contact information
Practice address
1550 E WASHINGTON ST, SUITE ONE, COLTON, CA 92324-4624
(909) 370-4400
(909) 422-1588
Mailing address
P O BOX 7438, LAGUNA NIGUEL, CA 92607-7438
(909) 370-4400
(909) 422-1588
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
00G431511
CA
Other
Enumeration date
07/28/2011
Last updated
04/23/2019
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