Healthcare Provider Details

I. General information

NPI: 1063937571
Provider Name (Legal Business Name): ALAN ROJAS MD INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/04/2017
Last Update Date: 10/22/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8700 BEVERLY BLVD
WEST HOLLYWOOD CA
90048-1804
US

IV. Provider business mailing address

PO BOX 34549
LOS ANGELES CA
90034-0549
US

V. Phone/Fax

Practice location:
  • Phone: 323-656-8859
  • Fax: 323-656-1297
Mailing address:
  • Phone: 323-656-8859
  • Fax: 323-656-1297

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License NumberA139535
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberA139535
License Number StateCA

VIII. Authorized Official

Name: ALAN N ROJAS
Title or Position: OWNER / PRESIDENT
Credential: MD
Phone: 310-876-1094