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NPI Code Detail

MEDICARE: PRISCILLIA ROY M.D.

MEDICARE: PRISCILLIA ROY M.D.
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
1207Q00000XFamily Medicine PhysicianA108537CA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
11871777243OTHERCANPI

General Provider Information

NPI Number : 1871777243
Entity Type Code : Individual
Provider Name (Legal Business Name) : PRISCILLIA ROY M.D.
Provider Business Mailing Address
First Line : PO BOX 41516
Second Line :
City : LONG BEACH
State : CA
Zip : 90853-1516
Country : US
Telephone Number : 562-285-5050
Fax Number : 562-285-5055
Provider Business Practice Location Address
First Line : 555 E OCEAN BLVD
Second Line : STE 110
City : LONG BEACH
State : CA
Zip : 90802-5003
Country : US
Telephone Number : 562-285-5050
Fax Number : 562-285-5055
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/20/2007
Last Update Date : 04/19/2022

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Directions to “ PRISCILLIA ROY M.D.” Practice Location

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