Individual
DR. DANIEL MARK ROLSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
200 MEDICAL PLZ, SUITE 214, LOS ANGELES, CA 90095-0001
(310) 267-8400
Mailing address
5767 W CENTURY BLVD, SUITE 400, LOS ANGELES, CA 90045-5631
(310) 267-8400
Taxonomy
Speciality
Code
Description
License number
State
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
Primary
A126308
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1245551175
—
CA
Enumeration date
06/15/2010
Last updated
04/22/2015
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