Organization
ROGER M. KERR, M.D.,INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROGER M KERR M.D. (MEDICAL DIRECTOR)
(213) 741-8306
Entity
Organization
Contact information
Practice address
2400 S FLOWER ST, DEPT. OF RADIOLOGY, LOS ANGELES, CA 90007-2629
(213) 741-8306
Mailing address
2400 S FLOWER ST, DEPT. OF RADIOLOGY, LOS ANGELES, CA 90007-2629
(213) 741-8306
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00G494980
BLUE SHIELD
CA
05
—
00G494981
—
AR
Enumeration date
10/05/2006
Last updated
09/10/2009
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