Roth, Bradley J

Roth, Bradley J is an individual health care provider with primary practice located at 11550 Indian Hills Road, Suite 310, Mission Hills CA 91345-1203. He recently has only one registered license in Allopathic & Osteopathic Physicians / Trauma Surgery, which is considered as his primary health care specialty. Roth, Bradley J can be contacted via phone (818) 898-4900.

Contact Information

Primary practice address
11550 Indian Hills Road, Suite 310 Mission Hills CA 91345-1203
Phone: (818) 898-4900
Fax: (818) 898-4990
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Trauma Surgery 2086S0127X G84133 California

Profile Details

NPI number 1699709048
LBN Legal business name Roth, Bradley J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 10th, 2006
Last updated Jul 21st, 2015 - about 11 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 1699709048 NPPES
California Other 020048518 MEDICARE RAILROAD
California MEDICAID 00G841330 MEDICARE RAILROAD
California Other 00G841330C29 MEDICARE RAILROAD
California Other 00G841330 MEDICARE RAILROAD

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