| Roofan Alsayegh Sole M D Pc | |
|
7120 Corbin Ave Reseda CA 91335-3618 | |
| (248) 982-4470 | |
| Not Available |
| Full Name | Roofan Alsayegh Sole M D Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 7120 Corbin Ave, Reseda, California |
| Authorized Official Name and Position | Roofan Alsayegh (OWNER) |
| Authorized Official Contact | 2489824470 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Roofan Alsayegh Sole M D Pc 21221 Oxnard St Apt 472 Woodland Hills CA 91367-5165 Ph: (248) 982-4470 | Roofan Alsayegh Sole M D Pc 7120 Corbin Ave Reseda CA 91335-3618 Ph: (248) 982-4470 |
| NPI Number | 1700516960 |
|---|---|
| Provider Enumeration Date | 06/12/2022 |
| Last Update Date | 10/31/2022 |
| Medicare PECOS PAC ID | 9234510256 |
|---|---|
| Medicare Enrollment ID | O20220721001144 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700516960 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Roofan Alsayegh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1477841641 PECOS PAC ID: 6507098530 Enrollment ID: I20211103001794 |
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