MEDICARE: ALEXANDER E. ROTHIS, 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
1	207L00000X	Anesthesiology Physician

General Provider Information

NPI Number	:	1922386648
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ALEXANDER E. ROTHIS, MD, INC.

Provider Business Mailing Address
First Line	:	2238 JEFFERSONIA WAY
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90049-1818
Country	:	US
Telephone Number	:	310-440-9160
Fax Number	:

Provider Business Practice Location Address
First Line	:	2238 JEFFERSONIA WAY
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90049-1818
Country	:	US
Telephone Number	:	310-440-9160
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. ALEXANDER E. ROTHIS
Credential	:	M.D.
Telephone Number	:	310-440-9160

Provider Enumeration Date	:	07/29/2011
Last Update Date	:	07/29/2011

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