ROSE MEDICAL GROUP NPI 1720189061

NPI Information

NPI: 1720189061
Provider Name: ROSE MEDICAL GROUP
Classification: Technician/Technologist - 156FX1100X
Entity Type: Organization

Specialization: Ophthalmic

Address:
2400 N BROADWAY
LOS ANGELES, CA
ZIP 90031
Phone: (323) 221-6121
Get Directions

ROSE MEDICAL GROUP is an ophthalmic technician technologist in Los Angeles, CA. ROSE MEDICAL GROUP NPI is 1720189061. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2400 N BROADWAY
LOS ANGELES, CA
ZIP 90031-219
Phone: (323) 221-6121
Fax: (323) 221-6120

The provider's authorized official is Michael R. Rose .
The authorized official title is President and has the following contact phone number (323) 221-6121.

The enumeration date for this NPI number is 9/26/2006 and was last updated on 4/24/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	156FX1100X	Technician/Technologist	Ophthalmic			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	0746930001	MEDICARE NSC	CALIFORNIA
2	E95396	MEDICARE UPIN	CALIFORNIA
3	GR0014310	MEDICAID	CALIFORNIA
4	W3411	MEDICARE ID-TYPE UNSPECIFIED	CALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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