Individual
MIKHAIL ROUBAKHA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
757 WESTWOOD PLZ, LOS ANGELES, CA 90095-2621
(310) 301-6800
Mailing address
5767 W CENTURY BLVD STE 400, LOS ANGELES, CA 90045-5631
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
1013313
MA
2085R0202X
Diagnostic Radiology Physician
Primary
A176054
CA
Other
Enumeration date
04/16/2018
Last updated
04/03/2024
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