Gottlieb, Roy
Gottlieb, Roy is an individual health care provider with primary practice located at 415 Rolling Oaks Dr , Thousand Oaks CA 91361-1031. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Gottlieb, Roy can be contacted via phone (805) 778-1513.Contact Information
Primary practice address
415 Rolling Oaks Dr
Thousand Oaks CA 91361-1031
Phone: (805) 778-1513
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | 20A6254 | California |
Profile Details
| NPI number | 1760431902 |
|---|---|
| LBN Legal business name | Gottlieb, Roy |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 6th, 2006 |
| Last updated | Feb 7th, 2014 - about 12 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1760431902 | NPPES |
| California | MEDICAID | 00AX62540 |
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