Provider Demographics
NPI:1275918583
Name:HANS JORG ROSLER MD LLC
Entity Type:Organization
Organization Name:HANS JORG ROSLER MD LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:HANS JORG
Authorized Official - Middle Name:
Authorized Official - Last Name:ROSLER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:702-357-8004
Mailing Address - Street 1:851 S RAMPART BLVD
Mailing Address - Street 2:SUITE 100
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89145-4882
Mailing Address - Country:US
Mailing Address - Phone:702-357-8004
Mailing Address - Fax:702-357-8005
Practice Address - Street 1:1101 BAYSIDE DR
Practice Address - Street 2:SUITE 100
Practice Address - City:CORONA DEL MAR
Practice Address - State:CA
Practice Address - Zip Code:92625-1702
Practice Address - Country:US
Practice Address - Phone:702-357-8004
Practice Address - Fax:702-357-8005
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-07-28
Last Update Date:2015-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208VP0000XAllopathic & Osteopathic PhysiciansPain MedicinePain MedicineGroup - Multi-Specialty
No207L00000XAllopathic & Osteopathic PhysiciansAnesthesiologyGroup - Multi-Specialty