Provider Demographics
NPI:1396928404
Name:JOEL R ROJAS INC
Entity type:Organization
Organization Name:JOEL R ROJAS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:JOEL
Authorized Official - Middle Name:R
Authorized Official - Last Name:ROJAS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:310-968-5687
Mailing Address - Street 1:8121 VAN NUYS BLVD
Mailing Address - Street 2:510
Mailing Address - City:PANORAMA CITY
Mailing Address - State:CA
Mailing Address - Zip Code:91402-5105
Mailing Address - Country:US
Mailing Address - Phone:310-968-5687
Mailing Address - Fax:
Practice Address - Street 1:8121 VAN NUYS BLVD
Practice Address - Street 2:510
Practice Address - City:PANORAMA CITY
Practice Address - State:CA
Practice Address - Zip Code:91402-5105
Practice Address - Country:US
Practice Address - Phone:310-968-5687
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-12-11
Last Update Date:2009-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA761802081P2900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2081P2900XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationPain MedicineGroup - Single Specialty