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NPI Code Detail

MEDICARE: NICHOLAS A ROGERS MD INC

MEDICARE: NICHOLAS A ROGERS MD INC
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
1207V00000XObstetrics & Gynecology PhysicianA112189CA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1A112189OTHERCACA LICENSE

General Provider Information

NPI Number : 1023308145
Entity Type Code : Organization
Provider Name (Legal Business Name) : NICHOLAS A ROGERS MD INC
Provider Business Mailing Address
First Line : 1414 S GRAND AVE STE 383
Second Line : SUITE 383
City : LOS ANGELES
State : CA
Zip : 90015-3072
Country : US
Telephone Number : 213-741-1440
Fax Number : 213-741-1464
Provider Business Practice Location Address
First Line : 1414 S GRAND AVE STE 383
Second Line : SUITE 383
City : LOS ANGELES
State : CA
Zip : 90015-3072
Country : US
Telephone Number : 213-741-1440
Fax Number : 213-741-1464
Authorized Official
Title or Position : OWNER
Name : NICHOLAS ANDREW ROGERS
Credential :
Telephone Number : 213-741-1220
Provider Enumeration Date : 04/11/2011
Last Update Date : 04/17/2026

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Directions to “NICHOLAS A ROGERS MD INC ” Practice Location

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