Kasendorf, Roger Ashley

Kasendorf, Roger Ashley is an sole proprietor health care provider with primary practice located at 9834 Genesee Ave Ste 221 , La Jolla CA 92037-1215. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, Allopathic & Osteopathic Physicians / Pain Medicine. Allopathic & Osteopathic Physicians / Pain Medicine is his primary health care specialty. Kasendorf, Roger Ashley can be contacted via phone (858) 558-1275.

Contact Information

Primary practice address
9834 Genesee Ave Ste 221 La Jolla CA 92037-1215
Phone: (858) 558-1275
Fax: (858) 244-0152
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X 239449-1 New York
Allopathic & Osteopathic Physicians / Pain Medicine 2081P2900X 20A12928 California

Profile Details

NPI number 1356371884
LBN Legal business name Kasendorf, Roger Ashley
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 3rd, 2006
Last updated Aug 15th, 2021 - about 5 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1356371884 NPPES
New York MEDICAID 02940027

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