# ROSE J EAPEN, MD, PC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** South Bay Pediatric Otolaryngology
- **Organization subpart:** No

## Provider details

- **NPI number:** 1144811597
- **Authorized official:** ROSE J EAPEN MD (PRESIDENT)
- **Authorized official phone:** (424) 218-6073

## Contact information

- **Practice address:** 3655 LOMITA BLVD STE 300, TORRANCE, CA 90505-3969
- **Practice address phone:** (424) 218-6073
- **Practice address fax:** (424) 226-3064
- **Mailing address:** 2711 N SEPULVEDA BLVD \# 520, MANHATTAN BEACH, CA 90266-2725
- **Mailing address phone:** (424) 218-6073
- **Mailing address fax:** (424) 226-3064

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | — | — | Yes |

## Other

- **Enumeration date:** 01/28/2021
- **Last updated:** 01/28/2021