Roback, Donald Lewis

Roback, Donald Lewis is an individual health care provider with primary practice located at 2200 N Sepulveda Blvd , Manhattan Beach CA 90266-2910. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Roback, Donald Lewis can be contacted via phone (310) 802-0200.

Contact Information

Primary practice address
2200 N Sepulveda Blvd Manhattan Beach CA 90266-2910
Phone: (310) 802-0200
Fax: (310) 794-9035
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X A22819 California

Profile Details

NPI number 1467401240
LBN Legal business name Roback, Donald Lewis
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 9th, 2006
Last updated Dec 16th, 2019 - about 7 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 1467401240 NPPES
California MEDICAID 00A228190

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