Dr. Roger Ashley Kasendorf
Physical Medicine & Rehabilitation Doctor Pain Medicine
9834 Genesee Ave Ste 221
La Jolla
, California 92037-1215
Dr. Roger Ashley Kasendorf
Physical Medicine & Rehabilitation Doctor Pain Medicine
9834 Genesee Ave Ste 221
La Jolla
, California 92037-1215
(858) 244-0152
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About
Features
Specialties
- Physical Medicine & Rehabilitation Doctor
- Pain Medicine
Languages spoken
- English
Location
First Address
- Dr. Roger Ashley Kasendorf
- 9834 Genesee Ave Ste 427
- La Jolla, CA
- Zip : 92037-1264
- Fax : (858) 244-0152
- Phone : (516) 336-4362
Second Address
- Dr. Roger Ashley Kasendorf
- 9834 Genesee Ave Ste 221
- La Jolla, CA
- Zip : 92037-1215
- Fax : (858) 244-0152
- Phone : (858) 558-1275
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 208100000X | Physical Medicine & Rehabilitation Doctor | 239449-1 | NY |
| Y | 2081P2900X | Pain Medicine | 20A12928 | CA |
National Provider Identifier
| NPI | 1356371884 |
|---|---|
| Provider Name | Dr. Roger Ashley Kasendorf |
| First Address | La Jolla, CA 92037-1264 |
| Second Address | La Jolla, CA 92037-1215 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 03/07/2006 |
| Last Update Date | 15/08/2021 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 02940027 | (05) | NY |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.