ROGER VICTOR BERTOLDI MD NPI 1164447082

NPI Information

Roger Victor Bertoldi, MD is a neurology psychiatry neurology in Los Angeles, CA with 42 years of experience. The provider is a Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. Roger Victor Bertoldi, MD NPI is 1164447082. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

300 UCLA MEDICAL PLZ STE B200
LOS ANGELES, CA
ZIP 90095-008
Phone: (310) 794-1195
Fax: (310) 794-7491

The NPI 1164447082 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 7/13/2006 and was last updated on 1/15/2020.

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:

Other Identifiers

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

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