Healthcare Provider Details

I. General information

NPI: 1578826053
Provider Name (Legal Business Name): PALLIATIVE CARE DOCTORS GROUP, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/20/2012
Last Update Date: 05/05/2023
Certification Date: 05/05/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1700 WESTWOOD BLVD SUITE # 2D
LOS ANGELES CA
90024-5608
US

IV. Provider business mailing address

1700 WESTWOOD BLVD SUITE # 2D
LOS ANGELES CA
90024-5608
US

V. Phone/Fax

Practice location:
  • Phone: 800-941-4161
  • Fax: 310-234-6604
Mailing address:
  • Phone: 800-941-4161
  • Fax: 310-234-6604

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RH0002X
TaxonomyHospice and Palliative Medicine (Internal Medicine) Physician
License Number
License Number State

VIII. Authorized Official

Name: BABAK ROOZROKH
Title or Position: OWNER/CEO
Credential: MD
Phone: 310-475-4865