# ROSAASEN PHYSICAL MEDICINE INC.

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** ROSAASEN PHYSICAL MEDICINE INC.
- **Other names:** Superior Physical Medicine
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1033481668
- **Legal business name:** ROSAASEN PHYSICAL MEDICINE INC.
- **Authorized official:** DR. JONATHAN ROSAASEN M.D. (MEDICAL DIRECTOR)
- **Authorized official phone:** (805) 520-2929

## Contact information

- **Practice address:** 2780 TAPO CANYON RD, SUITE A-3, SIMI VALLEY, CA 93063-6840
- **Practice address phone:** (805) 520-2929
- **Mailing address:** 2980 N BEVERLY GLEN CIR, SUITE 301, LOS ANGELES, CA 90077-1726
- **Mailing address phone:** (310) 474-9809

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332900000X | Non-Pharmacy Dispensing Site | — | NULL | Yes |

## Other

- **Enumeration date:** 01/27/2012
- **Last updated:** 03/20/2012