Individual
ANSELMO ROLDAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3490 PALM AVE, SAN DIEGO, CA 92154-1664
(619) 423-5616
(619) 423-5684
Mailing address
3490 PALM AVE, SAN DIEGO, CA 92154-1664
(619) 423-5616
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
A42177
CA
Other
Enumeration date
08/16/2006
Last updated
02/26/2020
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