Individual
DR. ROMA TICKOO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D., M.P.H.
Contact information
Practice address
11800 WILSHIRE BLVD, LOS ANGELES, CA 90025-6602
(310) 582-7900
Mailing address
4140 W 190TH ST, TORRANCE, CA 90504-5513
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
C164731
CA
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
Primary
C164731
CA
208VP0000X
Pain Medicine Physician
237401
NY
Other
Enumeration date
09/27/2007
Last updated
04/13/2023
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