| Rosen Medical Group Inc | |
|
23621 Park Sorrento Ste 102 Calabasas CA 91302-1395 | |
| (818) 797-8000 | |
| (818) 797-7799 |
| Full Name | Rosen Medical Group Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 23621 Park Sorrento Ste 102, Calabasas, California |
| Authorized Official Name and Position | Bobbie Brito (SUPERVISOR) |
| Authorized Official Contact | 8187994454 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Rosen Medical Group Inc 23621 Park Sorrento Ste 102 Calabasas CA 91302-1395 Ph: (818) 797-8000 | Rosen Medical Group Inc 23621 Park Sorrento Ste 102 Calabasas CA 91302-1395 Ph: (818) 797-8000 |
| NPI Number | 1174162283 |
|---|---|
| Provider Enumeration Date | 01/06/2020 |
| Last Update Date | 08/05/2022 |
| Medicare PECOS PAC ID | 9830520055 |
|---|---|
| Medicare Enrollment ID | O20200502000197 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174162283 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Daniel Rosen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1801170519 PECOS PAC ID: 2062633548 Enrollment ID: I20141027001188 |
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