Provider Type Icon

SAN DIEGO SPECIALISTS KENNETH J ROTH GEN PTR NPI 1841851474


NPI Information

NPI: 1841851474
Provider Name: SAN DIEGO SPECIALISTS KENNETH J ROTH GEN PTR

Doing Business As: SAN DIEGO SPECIALISTS

Classification: Specialist - 174400000X
Entity Type: Organization
Address:
8765 AERO DR STE 130
SAN DIEGO, CA
ZIP 92123
Phone: (858) 541-0181
Get Directions

SAN DIEGO SPECIALISTS KENNETH J ROTH GEN PTR is a specialist in San Diego, CA. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. SAN DIEGO SPECIALISTS KENNETH J ROTH GEN PTR NPI is 1841851474. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As San Diego Specialists.

The provider's business location address is:

8765 AERO DR STE 130
SAN DIEGO, CA
ZIP 92123-767
Phone: (858) 541-0181
Fax: (858) 715-3809

The provider's authorized official is Kenneth J Roth .
The authorized official title is General Partner and has the following contact phone number (858) 541-0181.

The enumeration date for this NPI number is 6/25/2019 and was last updated on 6/26/2019.


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
1174400000XSpecialistYes

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: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.