Organization
EDWARD E. ROTAN, JR., MD, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EDWARD ROTAN SR. (CEO)
(951) 255-2487
Entity
Organization
Contact information
Practice address
715 N FIELDER RD, ARLINGTON, TX 76012-4695
(817) 261-1626
Mailing address
11726 SAN VICENTE BLVD, SUITE 300, LOS ANGELES, CA 90049-5044
(951) 255-2487
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
Other
Enumeration date
07/07/2009
Last updated
07/07/2009
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