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General NPI Number Information
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NPI Number | 1023313772
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Entity Type | Individual
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Provider Name | ROY NATTIV MD
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Gender | Male
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Dates
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Enumeration Date | 01/11/2011
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Last Update Date | 06/18/2025
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Provider Practice Location Address
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Address Line | 2110 FOX HILLS DR
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City | LOS ANGELES
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State | CA
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Zip | 90025-6005
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Country | US
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Telephone | 310-844-1194
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Fax | 310-844-9166
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Provider Business Mailing Address
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Address Line | 1760 TERMINO AVE STE 300
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City | LONG BEACH
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State | CA
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Zip | 90804-2157
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Country | US
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Telephone | 562-933-3009
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Fax | 562-933-8557
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | N8431
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | A116897
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 2080P0206X
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Taxonomy Name | Pediatric Gastroenterology Physician
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License Number | A116897
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License Number State | CA
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