| Ian Roy Md Inc | |
|
8700 Beverly Blvd West Hollywood CA 90048-1804 | |
| (661) 878-8150 | |
| (661) 878-8551 |
| Full Name | Ian Roy Md Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 8700 Beverly Blvd, West Hollywood, California |
| Authorized Official Name and Position | Ian D Roy (OWNER/PRESIDENT) |
| Authorized Official Contact | 6618788150 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ian Roy Md Inc Po Box 69796 West Hollywood CA 90069-0796 Ph: (661) 878-8150 | Ian Roy Md Inc 8700 Beverly Blvd West Hollywood CA 90048-1804 Ph: (661) 878-8150 |
| NPI Number | 1063994531 |
|---|---|
| Provider Enumeration Date | 08/31/2018 |
| Last Update Date | 08/31/2018 |
| Medicare PECOS PAC ID | 4284988825 |
|---|---|
| Medicare Enrollment ID | O20181116001562 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063994531 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | A148748 (California) | Primary |
| 208M00000X | Hospitalist | A148748 (California) | Secondary |
| Provider Name | Ian Roy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1073995320 PECOS PAC ID: 4183978737 Enrollment ID: I20181116001749 |
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