OrganizationR Roth IncInternal MedicineAllopathic & Osteopathic PhysiciansPractice Address1300 N Vermont Ave, 810, Los Angeles, CA 90027-6005(424) 288-6930PECOS EnrollmentBased on the most recent information from CMS, provider R Roth Inc does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 3 days ago.Profile DetailsProvider ID1396051348Provider TypeOrganizationFull NameR Roth IncSubpartNoEnumeration Date8/28/2010Last Updated1/5/2011Contact InformationPractice LocationPractice Address1300 N Vermont Ave, 810, Los Angeles, CA 90027-6005Phone(424) 288-6930FaxUnlisted FaxMailing LocationMailing Address8033 W Sunset Blvd, 513, Los Angeles, CA 90046-2401Phone(424) 288-6930FaxUnlisted FaxAuthorized OfficialNameRoth, Robert Scott (Medical Director)Phone(424) 288-6930Provider TaxonomiesCodeDescriptionLicenseCode207R00000XPrimaryDescriptionInternal MedicineAllopathic & Osteopathic PhysiciansLicenseG48505