Jeffrey Hy Roggin, DPT | |
11825 Major St Ste 107, Culver City, CA 90230-6356 | |
(310) 915-6100 | |
Not Available |
Full Name | Jeffrey Hy Roggin |
---|---|
Gender | Male |
Speciality | Physical Therapist |
Location | 11825 Major St Ste 107, Culver City, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1568164762 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 303892 (California) | Primary |
Provider Name | Evolution Physical Therapy Inc |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1174601116 PECOS PAC ID: 0244336964 Enrollment ID: O20070426000134 |
Mailing Address | Practice Location Address |
---|---|
Jeffrey Hy Roggin, DPT 3419 Ocean Dr, Manhattan Beach, CA 90266-3377 Ph: (310) 432-3368 | Jeffrey Hy Roggin, DPT 11825 Major St Ste 107, Culver City, CA 90230-6356 Ph: (310) 915-6100 |
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