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ROSAASEN FAMILY MEDICINE INC. NPI 1841636198


NPI Information

NPI: 1841636198
Provider Name: ROSAASEN FAMILY MEDICINE, INC.

Doing Business As: ROSAASEN FAMILY MEDICINE, INC.

Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

Address:
187 E WILBUR RD # 100
THOUSAND OAKS, CA
ZIP 91360
Phone: (805) 492-1015
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ROSAASEN FAMILY MEDICINE, INC. is a primary care clinic center in Thousand Oaks, CA. ROSAASEN FAMILY MEDICINE, INC. NPI is 1841636198. The provider is registered as an organization entity type.
The provider Is Doing Business As Rosaasen Family Medicine, Inc..

The provider's business location address is:

187 E WILBUR RD # 100
THOUSAND OAKS, CA
ZIP 91360-572
Phone: (805) 492-1015
Fax: (805) 492-2035

The provider's authorized official is Jonathan Rosaasen .
The authorized official title is President and has the following contact phone number (805) 492-1015.

The enumeration date for this NPI number is 5/14/2013 and was last updated on 10/13/2020.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QP2300XClinic/CenterPrimary CareYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11073150744OTHERCALIFORNIAYOUNG
21528151352OTHERCALIFORNIAFAMILY MEDICINE
31497868376OTHERCALIFORNIAFAMILY MEDICINE
41174166714OTHERCALIFORNIAESGATE

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: 4/28/2024

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