Individual
TIFFANY ROGERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D., M.P.T.
Contact information
Practice address
3701 SKYPARK DR, SUITE 100, TORRANCE, CA 90505-4753
(310) 517-1216
Mailing address
3701 SKYPARK DR, SUITE 100, TORRANCE, CA 90505-4753
(310) 517-1216
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
A70813
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A708130
—
CA
Enumeration date
10/24/2005
Last updated
10/20/2016
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