Melissa J Rosin, MD | |
1451 Irvine Blvd, Tustin, CA 92780-3804 | |
(714) 838-8878 | |
(714) 838-8988 |
Full Name | Melissa J Rosin |
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Gender | Female |
Speciality | Pediatrics |
Location | 1451 Irvine Blvd, Tustin, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1942399589 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | A77805 (California) | Primary |
Entity Name | Providence Medical Foundation |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1285890624 PECOS PAC ID: 8921993205 Enrollment ID: O20040216001346 |
Entity Name | Memorialcare Medical Foundation |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1205167350 PECOS PAC ID: 8729277314 Enrollment ID: O20110113000219 |
Mailing Address | Practice Location Address |
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Melissa J Rosin, MD 17360 Brookhurst St, Attn: Credentialing Department, Fountain Valley, CA 92708-3720 Ph: () - | Melissa J Rosin, MD 1451 Irvine Blvd, Tustin, CA 92780-3804 Ph: (714) 838-8878 |
Dr. Beena Kazi, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 14971 Holt Ave, Tustin, CA 92780 Phone: 949-356-7676 | |
Dr. Dawn L Bruner, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 13132 Newport Ave, 100, Tustin, CA 92780 Phone: 714-565-7960 Fax: 714-565-7982 | |
Paul Genser, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1451 Irvine Blvd, Tustin, CA 92780 Phone: 714-838-8878 | |
James P Morley, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1451 Irvine Blvd, Tustin, CA 92780 Phone: 714-838-8878 Fax: 714-838-8988 | |
Dr. Norah Gutrecht, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 13132 Newport Ave, 100, Tustin, CA 92780 Phone: 714-565-7960 Fax: 714-565-7982 | |
Dr. Ernest Daniel Mackey, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 13132 Newport Ave, 100, Tustin, CA 92780 Phone: 714-565-7960 Fax: 714-565-7982 | |
Dr. Michael Wayland Cater, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 13132 Newport Ave, 100, Tustin, CA 92780 Phone: 714-565-7960 Fax: 714-565-7982 |