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General NPI Number Information
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NPI Number | 1073757985
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Entity Type | Organization
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Legal Business Name | MOHSEN ROFOOGARAN
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Dates
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Enumeration Date | 04/22/2009
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Last Update Date | 04/22/2009
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Provider Practice Location Address
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Address Line | 1200 N STATE ST
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City | LOS ANGELES
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State | CA
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Zip | 90033-1029
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Country | US
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Telephone | 323-226-7556
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Fax |
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Provider Business Mailing Address
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Address Line | 7275 FRANKLIN AVE APT 208
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City | LOS ANGELES
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State | CA
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Zip | 90046-3087
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | HOUSE STAFF
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Name | MOHSEN ROFOOGARAN
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Credential | D.O.
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Telephone | 213-919-0881
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 282N00000X
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Taxonomy Name | General Acute Care Hospital
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License Number |
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License Number State |
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