Individual
FILIP ROOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
955 KELLEY CT, LAFAYETTE, CA 94549-4109
(916) 481-0777
(916) 481-1881
Mailing address
PO BOX 660877, SACRAMENTO, CA 95866-0877
(916) 481-0777
(916) 481-1881
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
A54519
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00A545191
MEDICARE ID-TYPE UNSPECIFIED
—
05
—
00A545191
—
CA
Enumeration date
06/20/2006
Last updated
02/09/2011
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