Individual provider · NPI-1
Dr. Scott Allan Roof, M.D.
Otolaryngology · Laguna Hills, CA
NPI number1669867123
StatusActive
Last updated in NPPESAug 11, 2021
Details
- NPI
- 1669867123
- Entity type
- Individual (NPI-1)
- Name
- Dr. Scott Allan Roof
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Apr 1, 2015
- Certification date
- Aug 11, 2021
- Last updated
- Aug 11, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Y00000X | Otolaryngology | 309159 | NY | Yes |
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – | |
| 207Y00000X | Otolaryngology | 35.139127 | OH |
Practice location
24712 Avondale DrLaguna Hills, CA 92653-5752
Phone 949-290-2189
Mailing address
5 E 98th StNew York, NY 10029-6501
Phone 212-241-6500
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