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Provider Information for 1598820938

Please Note: Issuance of an NPI does not ensure or validate that the Health Care Provider is Licensed or Credentialed. For more information please refer to NPI: What You Need to Know

DR. ROGER GREGORY GERSHFELD D.M.D.

Gender: MALE

Individual NPI: 1598820938

Calendar   Last Updated:  2014-07-30
  Certification Date: 

Details

Name Value
NPI 1598820938
Enumeration Date 2006-12-26
NPI Type 1 - Individual
Sole Proprietor NO
Status Active
Mailing Address 7063 W SUNSET BLVD
LOS ANGELES, CA 90028-7509
United States

Phone: 323-962-9707 | Fax: 323-962-9717
View Map External Link
Primary Practice Address 7063 W SUNSET BLVD
LOS ANGELES, CA 90028-7509
United States

Phone: 323-962-9707 | Fax: 323-962-9717
View Map External Link
Health Information Exchange
Endpoint Type Endpoint Endpoint Description Use Content Type Affiliation Endpoint Location
Other Identifiers
Issuer State Number
Other DENTI-CAL CA G92918-01
Taxonomy
Primary Taxonomy Selected Taxonomy State License Number
Yes 1223G0001X - Dentist General Practice CA 46800