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NPI Code Detail

MEDICARE: ROXBURY SURGICAL ASSOCIATES A MEDICAL CORPORATION

MEDICARE: ROXBURY SURGICAL ASSOCIATES A MEDICAL CORPORATION
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
1208600000XSurgery Physician

General Provider Information

NPI Number : 1518079862
Entity Type Code : Organization
Provider Name (Legal Business Name) : ROXBURY SURGICAL ASSOCIATES A MEDICAL CORPORATION
Provider Business Mailing Address
First Line : PO BOX 940249
Second Line :
City : SIMI VALLEY
State : CA
Zip : 93094-0249
Country : US
Telephone Number : 805-581-5575
Fax Number : 310-564-0316
Provider Business Practice Location Address
First Line : 465 N ROXBURY DR STE 1001
Second Line :
City : BEVERLY HILLS
State : CA
Zip : 90210-4213
Country : US
Telephone Number : 310-777-8800
Fax Number : 310-564-0316
Authorized Official
Title or Position : PRESIDENT/OWNER/CEO
Name : JAY CALVERT
Credential : M.D.
Telephone Number : 310-777-8800
Provider Enumeration Date : 08/31/2006
Last Update Date : 03/13/2015

Similar Medicare Providers

1073557294 — DR. ROBERT Y UYEDA MD
Practice Location Address:
465 NORTH ROXBURY DRIVE , #1012
BEVERLY HILLS, CA
90210-4213
Practice Phone: 310-271-2178
Practice Fax: 310-271-2169
1760407829 — DR. KAMBIZ K PARSA MD
Practice Location Address:
465 N ROXBURY DR STE 1001
BEVERLY HILLS, CA
90210-4213
Practice Phone: 310-777-8880
Practice Fax: 310-248-6258
1831201193 — JAY CALVERT M.D.
Practice Location Address:
465 N ROXBURY DR STE 1001
BEVERLY HILLS, CA
90210-4213
Practice Phone: 310-777-8800
Practice Fax: 310-248-6258
1588823181 — DR. PAYAM JARRAHNEJAD MD
Practice Location Address:
465 N ROXBURY DR STE 1017
BEVERLY HILLS, CA
90210-4213
Practice Phone: 310-993-3800
Practice Fax: 310-388-1617
1326280371 — DR. MILLICENT OVERLEY ROVELO M.D.
Practice Location Address:
465 N ROXBURY DR STE 1001
BEVERLY HILLS, CA
90210-4213
Practice Phone: 310-954-1355
Practice Fax:
1255566840 — PAYAM JARRAHNEJAD MD A PROFESSIONAL MEDICAL CORPORATION
Practice Location Address:
465 N ROXBURY DR STE 1017
BEVERLY HILLS, CA
90210-4213
Practice Phone: 310-993-3800
Practice Fax: 310-388-1617

Directions to “ROXBURY SURGICAL ASSOCIATES A MEDICAL CORPORATION ” Practice Location

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