Healthcare Provider Details

I. General information

NPI: 1558498998
Provider Name (Legal Business Name): ROLA SAOUAF MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/27/2007
Last Update Date: 03/07/2023
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8700 BEVERLY BLVD ROOM M335
LOS ANGELES CA
90048
US

IV. Provider business mailing address

PO BOX 4313
WOODLAND HILLS CA
91365-4313
US

V. Phone/Fax

Practice location:
  • Phone: 310-423-8000
  • Fax:
Mailing address:
  • Phone: 805-375-8800
  • Fax: 805-375-8900

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License NumberG86337
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: