Provider Demographics
NPI:1538523873
Name:ROIZMAN, INGA (RADT-II)
Entity type:Individual
Prefix:
First Name:INGA
Middle Name:
Last Name:ROIZMAN
Suffix:
Gender:F
Credentials:RADT-II
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12439 MAGNOLIA BLVD
Mailing Address - Street 2:#613
Mailing Address - City:VALLEY VILLAGE
Mailing Address - State:CA
Mailing Address - Zip Code:91607-2450
Mailing Address - Country:US
Mailing Address - Phone:310-367-9737
Mailing Address - Fax:
Practice Address - Street 1:12400 MAGNOLIA BLVD
Practice Address - Street 2:
Practice Address - City:VALLEY VILLAGE
Practice Address - State:CA
Practice Address - Zip Code:91607-2415
Practice Address - Country:US
Practice Address - Phone:818-495-4300
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-04-13
Last Update Date:2017-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)