| Siamak Rouzroch Md Inc | |
|
1703 Termino Ave 107 Long Beach CA 90804-2124 | |
| (562) 494-8008 | |
| (562) 494-8001 |
| Full Name | Siamak Rouzroch Md Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1703 Termino Ave, Long Beach, California |
| Authorized Official Name and Position | Siamak Rouzroch (MD) |
| Authorized Official Contact | 5624948008 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Siamak Rouzroch Md Inc 1703 Termino Ave 107 Long Beach CA 90804-2124 Ph: (562) 494-8008 | Siamak Rouzroch Md Inc 1703 Termino Ave 107 Long Beach CA 90804-2124 Ph: (562) 494-8008 |
| NPI Number | 1477741023 |
|---|---|
| Provider Enumeration Date | 10/09/2007 |
| Last Update Date | 10/09/2007 |
| Medicare PECOS PAC ID | 0042100406 |
|---|---|
| Medicare Enrollment ID | O20040318000830 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477741023 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Siamak Rouzroch |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1730271685 PECOS PAC ID: 9931099397 Enrollment ID: I20040319000623 |
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