Provider Demographics
NPI:1871645515
Name:ROUFF, STEVEN L (MD)
Entity Type:Individual
Prefix:DR
First Name:STEVEN
Middle Name:L
Last Name:ROUFF
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:15211 VANOWEN ST
Mailing Address - Street 2:STE 100
Mailing Address - City:VAN NUYS
Mailing Address - State:CA
Mailing Address - Zip Code:91405
Mailing Address - Country:US
Mailing Address - Phone:818-778-1920
Mailing Address - Fax:818-787-8804
Practice Address - Street 1:15211 VANOWEN ST
Practice Address - Street 2:STE 100
Practice Address - City:VAN NUYS
Practice Address - State:CA
Practice Address - Zip Code:91405
Practice Address - Country:US
Practice Address - Phone:818-778-1920
Practice Address - Fax:818-787-8804
Is Sole Proprietor?:No
Enumeration Date:2007-01-16
Last Update Date:2020-04-09
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CAA24246207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAA23871Medicare UPIN