Individual
ROY EGARI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
18011 PIONEER BLVD, ARTESIA, CA 90701-3904
(564) 402-0711
(562) 402-4338
Mailing address
18011 PIONEER BLVD., ARTESIA, CA 90701
(564) 402-0711
(562) 402-4338
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
A37407
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
330065892
TAX ID
AR
05
—
GR0019310
—
CA
Enumeration date
08/30/2006
Last updated
03/10/2018
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