OrganizationSan Diego Specialists Kenneth J Roth Gen Ptr(<Unavail>)SpecialistOther Service ProvidersPractice Address8765 Aero Dr Ste 130, San Diego, CA 92123-1767(858) 541-0181PECOS EnrollmentBased on the most recent information from CMS, provider San Diego Specialists Kenneth J Roth Gen Ptr 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 2 days ago.Profile DetailsProvider ID1841851474Provider TypeOrganizationFull NameSan Diego Specialists Kenneth J Roth Gen PtrOther Name<Unavail>SubpartNoEnumeration Date6/25/2019Last Updated8/1/2022Contact InformationPractice LocationPractice Address8765 Aero Dr Ste 130, San Diego, CA 92123-1767Phone(858) 541-0181Fax(858) 715-3809Mailing LocationMailing Address8765 Aero Dr Ste 130, San Diego, CA 92123-1767Phone(858) 541-0181Fax(858) 715-3809Authorized OfficialNameRoth, Kenneth J (General Partner)Phone(858) 541-0181Provider TaxonomiesCodeDescriptionLicenseCode174400000XPrimaryDescriptionSpecialistOther Service ProvidersLicenseUnlisted Issuer