Organization
TIFFANY ROGERS, MD, MPT, INC.
Active
Parent organization
TIFFANY ROGERS, MD, MPT, INC.
Organization subpart
Yes
Provider details
NPI number
Legal business name
TIFFANY ROGERS, MD, MPT, INC.
Authorized official
TIFFANY ROGERS MD (OWNER)
(310) 316-6190
Entity
Organization
Contact information
Practice address
23456 HAWTHORNE BLVD, SUITE 300, TORRANCE, CA 90505-4716
(310) 316-6190
Mailing address
2980 N BEVERLY GLEN CIR, SUITE 100, LOS ANGELES, CA 90077-1726
(310) 474-9809
(888) 431-8819
Taxonomy
Speciality
Code
Description
License number
State
332900000X
Non-Pharmacy Dispensing Site
Primary
—
—
Other
Enumeration date
10/13/2011
Last updated
10/05/2015
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