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General NPI Number Information
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NPI Number | 1194403642
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Entity Type | Organization
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Legal Business Name | ROCKET DOCTOR PRACTICE GROUP, P.C.
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Dates
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Enumeration Date | 07/06/2023
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Last Update Date | 10/03/2025
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Provider Practice Location Address
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Address Line | 881 DOVER DR STE 250
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City | NEWPORT BEACH
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State | CA
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Zip | 92663-6900
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Country | US
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Telephone | 831-777-4283
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Fax |
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Provider Business Mailing Address
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Address Line | 2219 MAIN ST UNIT 653
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City | SANTA MONICA
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State | CA
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Zip | 90405-2245
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Country | US
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Telephone | 310-648-9032
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | WILLIAM CHERNIAK
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Credential |
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Telephone | 310-648-9032
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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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 |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 2084A2900X
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Taxonomy Name | Neurocritical Care Physician
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 207RH0003X
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Taxonomy Name | Hematology & Oncology Physician
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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Taxonomy #7
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Taxonomy Code | 171M00000X
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Taxonomy Name | Case Manager/Care Coordinator
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License Number |
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License Number State |
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Taxonomy #8
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Taxonomy Code | 207QA0401X
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Taxonomy Name | Addiction Medicine (Family Medicine) Physician
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License Number |
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License Number State |
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Taxonomy #9
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Taxonomy Code | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number |
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License Number State |
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Taxonomy #10
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number |
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License Number State |
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