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1336720804
DEREK ROGOZ
INGLEWOOD, CA
NPI
1336720804
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: CA 59384)
Additional Taxonomies
363A00000X Physician Assistant
Enumeration Date
2021-04-16
Last Update Date
2023-02-08
Business Address
DEREK ROGOZ
301 N PRAIRIE AVE STE 202
INGLEWOOD, CA 90301-4509
Phone number: 323-480-4075
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Mailing Address
DEREK ROGOZ
301 N PRAIRIE AVE STE 202
INGLEWOOD, CA 90301-4509
Phone number: 323-480-4075
Copy
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