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1235159427
MICHAEL DEREK ROTH
LOS ANGELES, CA
NPI
1235159427
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207RP1001X Internal Medicine, Pulmonary Disease
(Licence: CA G53992)
Enumeration Date
2006-07-20
Last Update Date
2010-07-19
Business Address
-- MICHAEL DEREK ROTH MD
200 MEDICAL PLAZA #365,530,420,120
LOS ANGELES, CA 90095
Phone number: 310-825-6301
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Mailing Address
-- MICHAEL DEREK ROTH MD
5767 W CENTURY BLVD SUITE 200
LOS ANGELES, CA 90045-5632
Phone number: 310-825-8061
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