MEDICARE: ZACHARY S ROEDER 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
1	2085R0202X	Diagnostic Radiology Physician	A158804	CA

General Provider Information

NPI Number	:	1326305483
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ZACHARY S ROEDER MD

Provider Business Mailing Address
First Line	:	2801 ATLANTIC AVE
Second Line	:
City	:	LONG BEACH
State	:	CA
Zip	:	90806-1701
Country	:	US
Telephone Number	:	562-933-1550
Fax Number	:	562-933-8088

Provider Business Practice Location Address
First Line	:	2627 FAIRFAX DR
Second Line	:
City	:	ARLINGTON
State	:	VA
Zip	:	22201-2813
Country	:	US
Telephone Number	:	858-546-3800
Fax Number	:	858-546-3900

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/13/2012
Last Update Date	:	03/10/2026

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