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General NPI Number Information
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NPI Number | 1750311791
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Entity Type | Organization
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Legal Business Name | BABAK ROOZROKH, MD INC
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Dates
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Enumeration Date | 07/04/2006
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Last Update Date | 05/05/2023
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Provider Practice Location Address
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Address Line | 1700 WESTWOOD BLVD SUITE 2D
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City | LOS ANGELES
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State | CA
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Zip | 90024-5608
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Country | US
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Telephone | 800-941-4161
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Fax | 310-234-6604
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Provider Business Mailing Address
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Address Line | 1700 WESTWOOD BLVD SUITE 2D
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City | LOS ANGELES
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State | CA
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Zip | 90024-5608
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Country | US
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Telephone | 800-941-4161
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Fax | 310-234-6604
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Authorized Official
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Title or Position | OWNER
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Name | BABAK ROOZROKH
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Credential | M.D.
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Telephone | 310-475-4865
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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 | A81646
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License Number State | CA
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