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ROY EGARI M.D.
>> Clinic/Center >> Ambulatory Health Care FacilitiesRegistrant NPI Number: 1871603829
Individual Registrant: ROY EGARI M.D.
Gender: M
Sole Proprietor
Gender: M
Sole Proprietor
Location and contact information for practice:
18011 PIONEER BLVD ARTESIA, CA 90701-3904 US
Tel: 564-402-0711 Fax: 562-402-4338
Tel: 564-402-0711 Fax: 562-402-4338
Contact information for business:
18011 PIONEER BLVD. ARTESIA, CA 90701 US
Tel: 564-402-0711 Fax: 562-402-4338
Tel: 564-402-0711 Fax: 562-402-4338
Registration Information:
NPI: 1871603829
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 261Q00000X | Ambulatory Health Care Facilities Clinic/Center | CA | A37407 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
| GR0019310 | CA | 05 | |
| TAX ID | 330065892 | AR | 01 |
