| Rosen Personalized Medicine | |
|
400 Taylor Blvd Ste 304 Pleasant Hill CA 94523-2160 | |
| (925) 363-0069 | |
| (925) 363-0077 |
| Full Name | Rosen Personalized Medicine |
|---|---|
| Speciality | Internal Medicine |
| Location | 400 Taylor Blvd Ste 304, Pleasant Hill, California |
| Authorized Official Name and Position | Shawn Rosen (FOUNDER) |
| Authorized Official Contact | 9253782007 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Rosen Personalized Medicine 400 Taylor Blvd Ste 304 Pleasant Hill CA 94523-2160 Ph: (925) 378-2007 | Rosen Personalized Medicine 400 Taylor Blvd Ste 304 Pleasant Hill CA 94523-2160 Ph: (925) 363-0069 |
| NPI Number | 1073292157 |
|---|---|
| Provider Enumeration Date | 07/14/2023 |
| Last Update Date | 04/30/2024 |
| Medicare PECOS PAC ID | 6406296425 |
|---|---|
| Medicare Enrollment ID | O20240424002595 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073292157 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Shawn D Rosen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1386887974 PECOS PAC ID: 1355589490 Enrollment ID: I20130530000449 |
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