Rollo, Johnathon Curtis
Rollo, Johnathon Curtis is an sole proprietor health care provider with primary practice located at 200 Ucla Medical Plz Ste 526 , Los Angeles CA 90095-8414. He recently has only one registered license in Allopathic & Osteopathic Physicians / Vascular Surgery, which is considered as his primary health care specialty. Rollo, Johnathon Curtis can be contacted via phone (310) 206-6294.Contact Information
Primary practice address
200 Ucla Medical Plz Ste 526
Los Angeles CA 90095-8414
Phone: (310) 206-6294
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Vascular Surgery | 2086S0129X | MD60748391 | Washington |
| Allopathic & Osteopathic Physicians / Vascular Surgery | 2086S0129X | A130427 | California |
Profile Details
| NPI number | 1104185644 |
|---|---|
| LBN Legal business name | Rollo, Johnathon Curtis |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 3rd, 2012 |
| Last updated | Sep 2nd, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1104185644 | NPPES |
| Washington | Other | 8967381 | MEDICARE PIN |
| Washington | MEDICAID | 1104185644 | MEDICARE PIN |
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