Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207XS0106X | Orthopaedic Hand Surgeon | G89005 | CA |
N | 207XS0106X | Orthopaedic Hand Surgeon | ME99035 | FL |
N | 2086S0105X | Surgery of the Hand | 212390-1 | NY |
NPI | 1316981954 |
---|---|
Provider Name | Richard A. Rogachefsky |
First Address | Newport Beach, CA 92659-0109 |
Second Address | Lawndale, CA 90260-2655 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 15/06/2006 |
Last Update Date | 17/12/2012 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1316981954 | TYPE 1 NPI (01) | CA |
F69256 | (02) |