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General NPI Number Information
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NPI Number | 1942544648
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Entity Type | Organization
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Legal Business Name | ARON L ROTMAN, M.D. A PROFESSIONAL CORP
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Dates
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Enumeration Date | 11/19/2012
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Last Update Date | 03/07/2023
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Provider Practice Location Address
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Address Line | 10515 BALBOA BLVD 200
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City | GRANADA HILLS
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State | CA
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Zip | 91344-6343
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Country | US
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Telephone | 818-831-4100
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Fax | 818-831-4900
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Provider Business Mailing Address
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Address Line | 10515 BALBOA BLVD 200
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City | GRANADA HILLS
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State | CA
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Zip | 91344-6343
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Country | US
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Telephone | 818-831-4100
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Fax | 818-831-4900
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | SONA BALASANYAN
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Credential |
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Telephone | 818-831-4100
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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 | G73976
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License Number State | CA
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