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Provider Information for 1821021981

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. ROSALINDA AMOR ROY M.D.

Gender: FEMALE

Individual NPI: 1821021981

Calendar   Last Updated:  2011-03-30
  Certification Date: 

Details

Name Value
NPI 1821021981
Enumeration Date 2006-07-09
NPI Type 1 - Individual
Sole Proprietor NO
Status Active
Mailing Address 8345 RESEDA BLVD SUITE 222
NORTHRIDGE, CA 91324-4621
United States

Phone: 818-775-5993 | Fax: 818-993-9344
View Map External Link
Primary Practice Address 21001 SHERMAN WAY SUITE 15
CANOGA PARK, CA 91303-1760
United States

Phone: 818-716-0048 | Fax: 818-348-4904
View Map External Link
Health Information Exchange
Endpoint Type Endpoint Endpoint Description Use Content Type Affiliation Endpoint Location
Other Identifiers
Issuer State Number
MEDICAID CA GR0076971
MEDICAID CA GR0076970
MEDICAID CA 00A522370
MEDICAID CA 00C426970
MEDICAID CA 00A882980
Other TAX ID CA 954326237
Taxonomy
Primary Taxonomy Selected Taxonomy State License Number
Yes 207Q00000X - Family Medicine CA C42697
No 208D00000X - General Practice CA C42697