Provider Demographics
NPI:1639153570
Name:SZEFTEL, ROXY (MD)
Entity Type:Individual
Prefix:DR
First Name:ROXY
Middle Name:
Last Name:SZEFTEL
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:740 26TH ST
Mailing Address - Street 2:
Mailing Address - City:SANTA MONICA
Mailing Address - State:CA
Mailing Address - Zip Code:90402-3150
Mailing Address - Country:US
Mailing Address - Phone:310-600-3424
Mailing Address - Fax:310-423-1044
Practice Address - Street 1:8730 ALDEN DRIVE
Practice Address - Street 2:THALIANS, W129
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90048
Practice Address - Country:US
Practice Address - Phone:310-423-3564
Practice Address - Fax:310-423-1044
Is Sole Proprietor?:No
Enumeration Date:2005-12-05
Last Update Date:2022-05-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAC419372084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAB50756Medicare UPIN