Individual
DR. KATHERINE ROQUE
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
M.D
Contact information
Practice address
9375 SAN FERNANDO RD, SUN VALLEY, CA 91352-1418
(818) 768-3000
(818) 504-4690
Mailing address
9375 SAN FERNANDO RD, SUN VALLEY, CA 91352-1418
(818) 768-3000
(818) 504-4690
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
A92731
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A927310
—
CA
Enumeration date
06/18/2006
Last updated
07/08/2007
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