Individual
AMY ROACH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4650 W SUNSET BLVD, LOS ANGELES, CA 90027-6062
(323) 660-2450
Mailing address
8700 BEVERLY BLVD # 8215NT, WEST HOLLYWOOD, CA 90048-1804
Taxonomy
Speciality
Code
Description
License number
State
2086S0120X
Pediatric Surgery Physician
Primary
A160884
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
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Other
Enumeration date
07/10/2018
Last updated
06/26/2024
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