Organization
A J ROGERS, MD, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
A J ROGERS MD (CEO)
(909) 370-4400
Entity
Organization
Contact information
Practice address
1550 E WASHINGTON ST STE 101, COLTON, CA 92324-4624
(909) 370-4400
(909) 370-4405
Mailing address
32158 CAMINO CAPISTRANO STE A267, SAN JUAN CAPISTRANO, CA 92675-3720
(909) 370-4400
(909) 370-4405
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
—
—
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5656453
DELAWARE FILE NO.
DE
Enumeration date
06/13/2019
Last updated
06/13/2019
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