Organization
FRIEDRICH ROESSLER, M.D., INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FRIEDRICH C. ROESSLER M.D . (AUTHORIZED OFFICIAL)
(626) 795-6596
Entity
Organization
Contact information
Practice address
4081 E OLYMPIC BLVD, LOS ANGELES, CA 90023-3330
(323) 267-0477
Mailing address
PO BOX 2757, ORANGE, CA 92859-0757
(714) 973-2650
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
A60680
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A606801
—
CA
01
—
A60680A
PTAN
CA
Enumeration date
09/11/2012
Last updated
08/21/2015
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