Roger Lee Engelbert, MD
Individual provider Active NPI Psychiatry Physician · San Pedro, CA
NPI 1447338488 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1447338488
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychiatry Physician 2084P0800X
- License
- G8443 (CA)
- Practice address
- 150 W 7TH St
San Pedro, CA 90731-3320 - Phone
- (310) 519-6100
- Fax
- (310) 732-5809
- NPI assigned
- Nov 1, 2006
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G8443 | CA | MD | Psychiatry Physician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | G8443 | CA | Yes |
Addresses
Primary practice location
150 W 7TH St
San Pedro, CA 90731-3320
Mailing address
150 W 7TH St
San Pedro, CA 90731-3320
Phone (310) 519-6100
Other providers in San Pedro, CA
- Elias N Khoury DMD Inc
- Richard R. Ellis
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- Elyasi del Torto Chiropractic, Inc.
- Emmett Cox II, M.D., a Professional Corporation
- Jamar Ephform
- Epiphany Counseling, Consulting & Treatment Services, PC
- Eric Kardovich, DMD, Inc.
- Eric M Feit DPM Inc
- Erica a Wicke M.a. Licensed Marriage and Family Therapist Inc.
All providers in San Pedro, CA · Psychiatry Physician in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.