MEDICARE: ROLANDHEIGHTS CARE MEDICAL CENTER

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	207R00000X	Internal Medicine Physician
2	213E00000X	Podiatrist

General Provider Information

NPI Number	:	1932158540
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ROLANDHEIGHTS CARE MEDICAL CENTER

Provider Business Mailing Address
First Line	:	2681 W OLYMPIC BLVD
Second Line	:	SUITE 2201
City	:	LOS ANGELES
State	:	CA
Zip	:	90006-2883
Country	:	US
Telephone Number	:	213-383-7030
Fax Number	:

Provider Business Practice Location Address
First Line	:	2681 W OLYMPIC BLVD
Second Line	:	SUITE 2201
City	:	LOS ANGELES
State	:	CA
Zip	:	90006-2883
Country	:	US
Telephone Number	:	213-383-7030
Fax Number	:

Authorized Official
Title or Position	:	CFO
Name	:	DR. RICHARD ANTHONY DEANDREA
Credential	:	M.D.
Telephone Number	:	213-383-7030

Provider Enumeration Date	:	05/09/2006
Last Update Date	:	09/11/2025

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