Ralph Kevin Roque, LVN is a
Licensed Practical Nurse based in Inglewood, California. Ralph Kevin Roque is licensed to practice in California (license number 279433) and his current practice location is
614 W Manchester Blvd, Inglewood, Ca 90301, 104, Inglewood, California. He can be reached at his office (for appointments etc.) via phone at
(310) 412-0879.
NPI number for Ralph Kevin Roque is 1992338552 and his current mailing address is 7246 Remmet Ave, Canoga Park, California. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1992338552.
Provider's Profile
Full Name | Ralph Kevin Roque |
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Gender | Male |
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Speciality | Licensed Practical Nurse |
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Location | 614 W Manchester Blvd, Inglewood, Ca 90301, Inglewood, California |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1992338552
- Provider Enumeration Date: 02/21/2020
- Last Update Date: 02/21/2020
Medical Identifiers
Medical identifiers for Ralph Kevin Roque such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1992338552 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
164W00000X | Licensed Practical Nurse | 279433 (California) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Ralph Kevin Roque is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Ralph Kevin Roque, LVN 7246 Remmet Ave, Canoga Park, CA 91303-1531 Ph: (818) 206-0360 | Ralph Kevin Roque, LVN 614 W Manchester Blvd, Inglewood, Ca 90301, 104, Inglewood, CA 90301 Ph: (310) 412-0879 |
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