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Gerald M Roth, MD
Diagnostic Radiology Physician in Santa Monica, California
NPI 1740227594

Gerald M Roth is a Diagnostic Radiology Physician based in Pasadena, CA and is specialized in Diagnostic Radiology. Gerald M Roth practices in Santa Monica, CA and has the professional credentials of MD. The NPI Number for Gerald M Roth is 1740227594 and holds a License No. G76013 (California).

The current practice location address for Gerald M Roth is 2202 Wilshire Blvd, Santa Monica, CA and can be reached out via phone at 310-264-9000 and via fax at 310-264-9004.

Location: 2202 Wilshire Blvd, Santa Monica, CA, 91185-1559
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1740227594
Provider Name
Gerald M Roth
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
2202 Wilshire Blvd, Santa Monica, CA, 91185-1559
Phone Number
310-264-9000
Fax Number
310-264-9004
Provider Enumeration Date
06/01/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
00G670130 05 CA
00G760130 01 CA BLUE SHIELD OF CA
institution
Provider Business Practice Location Address Details
Address
2202 Wilshire Blvd
City
Santa Monica
State
California
Zip
90403-5706
Phone Number
310-264-9000
Fax Number
310-264-9004
person
Provider Business Mailing Address Details
Address
2202 Wilshire Blvd
City
Santa Monica
State
California
Zip
90403-5706
Phone Number
310-264-9000
Fax Number
310-264-9004
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Diagnostic Radiology
Taxonomy
2085R0202X
License No.
G76013 (California)
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
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