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NPI Code Detail

MEDICARE: DR. ARTHUR F ROEMMELT MD

MEDICARE: DR. ARTHUR F ROEMMELT MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12084P0800XPsychiatry PhysicianG165711CA
22084P0804XChild & Adolescent Psychiatry PhysicianG165711CA
32084P0804XChild & Adolescent Psychiatry Physician106809NY

General Provider Information

NPI Number : 1023227279
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ARTHUR F ROEMMELT MD
Provider Business Mailing Address
First Line : 100 W WALNUT ST STE 375
Second Line :
City : PASADENA
State : CA
Zip : 91124-9503
Country : US
Telephone Number : 626-395-7100
Fax Number : 626-395-7270
Provider Business Practice Location Address
First Line : 12450 VAN NUYS BLVD STE 100
Second Line :
City : PACOIMA
State : CA
Zip : 91331-1392
Country : US
Telephone Number : 818-896-8366
Fax Number : 818-896-8392
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/22/2007
Last Update Date : 11/08/2019

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