Organization
KEN ROTH MD & ROLF EHLERS MD SAN DIEGO INTERNAL MEDICINE ASSOC
Active
Other names
San Diego Internal Medicine Associates
Organization subpart
No
Provider details
NPI number
Authorized official
KENNETH J ROTH M.D. (GENERAL PARTNER)
(858) 541-0181
Entity
Organization
Contact information
Practice address
8765 AERO DRIVE, SUITE 130, SAN DIEGO, CA 92123-1767
(858) 541-0181
(858) 637-9035
Mailing address
8765 AERO DRIVE, SUITE 130, SAN DIEGO, CA 92123-1767
(858) 541-0181
(858) 637-9035
Taxonomy
Speciality
Code
Description
License number
State
207RA0000X
Adolescent Medicine (Internal Medicine) Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
W12070
MEDICARE
CA
Enumeration date
10/03/2006
Last updated
11/11/2024
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