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NPI Code Detail

MEDICARE: SHAWN ROOFIAN MD INC

MEDICARE: SHAWN ROOFIAN 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
1207LP2900XPain Medicine (Anesthesiology) Physician

General Provider Information

NPI Number : 1447772561
Entity Type Code : Organization
Provider Name (Legal Business Name) : SHAWN ROOFIAN MD INC
Provider Business Mailing Address
First Line : PO BOX 3129
Second Line :
City : TORRANCE
State : CA
Zip : 90510-3129
Country : US
Telephone Number : 310-792-3914
Fax Number : 855-898-4055
Provider Business Practice Location Address
First Line : 8929 WILSHIRE BLVD STE 102
Second Line :
City : BEVERLY HILLS
State : CA
Zip : 90211-1950
Country : US
Telephone Number : 310-926-4922
Fax Number : 424-217-2675
Authorized Official
Title or Position : PRESIDENT
Name : DR. SHAWN ROOFIAN
Credential : MD
Telephone Number : 310-926-4922
Provider Enumeration Date : 07/11/2017
Last Update Date : 06/26/2019

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Directions to “SHAWN ROOFIAN MD INC ” Practice Location

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