Organization
RICHARD A ROGACHEFSKY M.D. PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICHARD A ROGACHEFSKY M.D. (PRESIDENT)
(213) 222-7382
Entity
Organization
Contact information
Practice address
15901 HAWTHORNE BLVD, SUITE 250, LAWNDALE, CA 90260-2655
(714) 434-8663
(714) 549-9287
Mailing address
PO BOX 1309, NEWPORT BEACH, CA 92659-0109
(714) 434-8663
(714) 549-9287
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
ME99035
FL
207XS0106X
Orthopaedic Hand Surgery Physician
Primary
G89005
CA
207XS0106X
Orthopaedic Hand Surgery Physician
ME99035
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1356597959
TYPE 2 NPI
CA
01
—
G89005
LICENSE
CA
Enumeration date
08/14/2008
Last updated
12/17/2012
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