Basic Information
| Provider Information | |||||||||
| NPI: | 1811315583 | ||||||||
| EntityType: | 1 | ||||||||
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| LastName: | ROJEK | ||||||||
| FirstName: | NATHAN | ||||||||
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| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 118 MEDICAL SURGE I UC IRVINE DEPARTMENT OF DERMATOLOGY | ||||||||
| Address2: | |||||||||
| City: | IRVINE | ||||||||
| State: | CA | ||||||||
| PostalCode: | 926972400 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9498245515 | ||||||||
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| Practice Location | |||||||||
| Address1: | 1 MEDICAL PLAZA DRIVE GOTTSCHALK MEDICAL PLAZA | ||||||||
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| City: | IRVINE | ||||||||
| State: | CA | ||||||||
| PostalCode: | 926973017 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9498248600 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 03/31/2014 | ||||||||
| LastUpdateDate: | 04/23/2018 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207N00000X | A154167 | CA | Y | Allopathic & Osteopathic Physicians | Dermatology |
No ID Information.