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Organization
ROSANE CLINIC INC
Active
Organization
ROSANE CLINIC INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JACOB JACOB (ADMINISTRATOR)
(213) 718-1473
Entity
Organization
Contact information
Practice address
3700 WILSHIRE BLVD STE 422, LOS ANGELES, CA 90010-2905
(213) 718-1473
Mailing address
3700 WILSHIRE BLVD STE 422, LOS ANGELES, CA 90010-2905
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
02/14/2020
Last updated
02/14/2020
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