Healthcare Provider Details

I. General information

NPI: 1023539012
Provider Name (Legal Business Name): ARBIS ROJAS MD INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/29/2017
Last Update Date: 03/22/2023
Certification Date: 03/21/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

950 S ARROYO PKWY FL 3
PASADENA CA
91105
US

IV. Provider business mailing address

1495 N LAKE AVE
PASADENA CA
91104-2303
US

V. Phone/Fax

Practice location:
  • Phone: 626-584-1919
  • Fax: 626-228-0695
Mailing address:
  • Phone: 626-584-1919
  • Fax: 626-228-0695

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RG0300X
TaxonomyGeriatric Medicine (Internal Medicine) Physician
License NumberA114775
License Number StateCA

VIII. Authorized Official

Name: ARBIS ROJAS
Title or Position: PRESIDENT
Credential: MD
Phone: 626-584-1919