ROSE EYE MEDICAL NPI 1972722932

NPI Information

  • NPI: 1972722932
  • Provider Name: ROSE EYE MEDICAL
  • Classification: Specialist - 174400000X
  • Entity Type: Organization
  • Other Name: SOUTH COAST EYE INSTITUTE
  • Address: 3420 BRISTOL ST
    SUITE 700
    COSTA MESA, CA
    ZIP 92626
  • Phone: (714) 957-0273

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NPI Details

ROSE EYE MEDICAL is a specialist in Costa Mesa, CA. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. ROSE EYE MEDICAL NPI is 1972722932. The provider is registered as an organization entity type and is a single specialty group.
The provider Other Name Is South Coast Eye Institute.

The provider's business location address is:

3420 BRISTOL ST
SUITE 700
COSTA MESA, CA
ZIP 92626-170
Phone: (714) 957-0273

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 4/25/2007 and was last updated on 8/22/2020.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1174400000XSpecialistG33914CALIFORNIAYes

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 Other Provider Identifier Issuer
1GR0014311MEDICAIDCALIFORNIA

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: 11/21/2025

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