MEDICARE: ALLISON MARIA ROBERTS 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
1	2085R0202X	Diagnostic Radiology Physician	A140765	CA
2	2085R0202X	Diagnostic Radiology Physician	DR.0061782	CO

General Provider Information

NPI Number	:	1922326305
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALLISON MARIA ROBERTS M.D.

Provider Business Mailing Address
First Line	:	PO BOX 31309
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90031-0309
Country	:	US
Telephone Number	:	323-442-8541
Fax Number	:	323-442-8755

Provider Business Practice Location Address
First Line	:	11700 W 2ND PL STE 100
Second Line	:
City	:	LAKEWOOD
State	:	CO
Zip	:	80228-1707
Country	:	US
Telephone Number	:	720-321-8230
Fax Number	:	720-321-8231

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

Provider Enumeration Date	:	05/11/2010
Last Update Date	:	01/23/2024

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