Michael Edward Roback


Address: 921 Westwood Blvd, Suite 217, Los Angeles, CA 90024-2944
Phone: 3104723385

Michael Edward Roback (NPI# 1346306990, PAC ID# 3779689906) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CLINICAL SOCIAL WORKER.

Physician Overview

Nation Provider ID (NPI) 1346306990
PAC ID by PECOS 3779689906
Professional Enrollment ID I20070504000457
Full Name Michael Edward Roback
Address 921 Westwood Blvd
Suite 217
Los Angeles
CA 90024-2944
Phone Number 3104723385
Gender M
Graduation Year 1983
Primary Specialty CLINICAL SOCIAL WORKER
Accepts Medicare Assignment Y

Other Locations

Address Phone Organization
921 Westwood Blvd, Suite 217, Los Angeles, CA 90024-2944 3104723385

Organization Information

Office Location

Street Address 921 WESTWOOD BLVD
SUITE 217
City LOS ANGELES
State CA
Zip 90024-2944

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Competitor

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City LOS ANGELES
Zip Code 90024
Specialty CLINICAL SOCIAL WORKER
City + Specialty LOS ANGELES + CLINICAL SOCIAL WORKER

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS)
Jurisdiction Medicare

This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.

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