MEDICARE: DR. ALFRED N ROVEN MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Y00000X	Otolaryngology Physician	G37043	CA
2	208200000X	Plastic Surgery Physician	G37043	CA
3	2086S0122X	Plastic and Reconstructive Surgery Physician	G37043	CA

General Provider Information

NPI Number	:	1942368394
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ALFRED N ROVEN MD

Provider Business Mailing Address
First Line	:	5757 WILSHIRE BLVD
Second Line	:	SUITE #6
City	:	LOS ANGELES
State	:	CA
Zip	:	90036-3681
Country	:	US
Telephone Number	:	323-937-7733
Fax Number	:	323-937-7740

Provider Business Practice Location Address
First Line	:	5757 WILSHIRE BLVD
Second Line	:	SUITE #6
City	:	LOS ANGELES
State	:	CA
Zip	:	90036-3681
Country	:	US
Telephone Number	:	323-937-7733
Fax Number	:	323-937-7740

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/05/2006
Last Update Date	:	09/11/2025

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