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G&J ROTH PROF CORP. NPI 1225250087


NPI Information

NPI: 1225250087
Provider Name: G&J ROTH PROF CORP.
Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
255 W BULLARD AVE STE 102
CLOVIS, CA
ZIP 93612
Phone: (559) 299-2128
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G&J ROTH PROF CORP. is a family medicine in Clovis, CA. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. G&J ROTH PROF CORP. NPI is 1225250087. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

255 W BULLARD AVE STE 102
CLOVIS, CA
ZIP 93612-861
Phone: (559) 299-2128
Fax: (559) 299-3494

The provider's authorized official is Timothy J Roth .
The authorized official title is Owner/physician and has the following contact phone number (559) 299-2128.

The enumeration date for this NPI number is 5/2/2007 and was last updated on 10/5/2010.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207Q00000XFamily MedicineYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
16181490002MEDICARE NSCCALIFORNIA
2YYY49258YMEDICARE PINCALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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