Individual
DR. ROGER ASHLEY KASENDORF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
9834 GENESEE AVE STE 221, LA JOLLA, CA 92037-1215
(858) 558-1275
(858) 244-0152
Mailing address
9834 GENESEE AVE STE 427, LA JOLLA, CA 92037-1264
(516) 336-4362
(858) 244-0152
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
239449-1
NY
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
20A12928
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02940027
—
NY
Enumeration date
07/03/2006
Last updated
08/15/2021
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