Provider Demographics
NPI:1073670212
Name:VARMA, ROHIT (MD)
Entity Type:Individual
Prefix:
First Name:ROHIT
Middle Name:
Last Name:VARMA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1300 N VERMONT AVE STE 101
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90027-6061
Mailing Address - Country:US
Mailing Address - Phone:323-644-4445
Mailing Address - Fax:
Practice Address - Street 1:1300 N VERMONT AVE STE 101
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90027-6061
Practice Address - Country:US
Practice Address - Phone:323-644-4445
Practice Address - Fax:323-442-7166
Is Sole Proprietor?:No
Enumeration Date:2007-01-03
Last Update Date:2021-06-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA52885207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00A528850Medicaid
CA00A528850OtherBLUE SHIELD
CA00A528850Medicaid
CA00A528850Medicare PIN
CAWA52885AMedicare PIN
CAWA52885BMedicare PIN
CA00A528850OtherBLUE SHIELD