Roger Y Takla M.D. Inc.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

A29866 Issued in CA

Legal business name

ROGER Y TAKLA M.D. INC.

Practice address

1040 Elm Ave
Suite 301
Long Beach, CA 90813-3267

Phone

(562) 491-9001

Fax

(562) 491-9283

NPI assigned

Nov 21, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Roger Y. Takla, M.D.

Title

President

Phone

(562) 491-9001

Specialties & licenses 2

Addresses

Other identifiers 1

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1164067200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1351468800000",
    "number": "1275608895",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1040 ELM AVE",
            "address_2": "SUITE 301",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908133267",
            "telephone_number": "562-491-9001",
            "fax_number": "562-491-9283"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1040 ELM AVE",
            "address_2": "SUITE 301",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908133267",
            "telephone_number": "562-491-9001",
            "fax_number": "562-491-9283"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROGER Y TAKLA M.D. INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-21",
        "last_updated": "2012-10-29",
        "status": "A",
        "authorized_official_last_name": "TAKLA",
        "authorized_official_first_name": "ROGER",
        "authorized_official_middle_name": "Y.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "562-491-9001",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "A29866",
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "A43079",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHDP PROVIDER",
            "identifier": "GR0024690",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amelia Jane Roesner
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• Mohsen Rofoogaran, DO
• Rogachevsky Marriage and Family Therapy (DBT Center of Long Beach)
• Roger a. Christensen Inc.
• Edward B Rogers Jr., M.T
• Joanna Rogers
• Latonia Rogers
• Samantha B Rogers
• Baylee Marie Roggero

• Pediatrics Physician in Long Beach, CA
• Providers in Long Beach, CA by specialty
• Pediatrics Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.