# ROSAASEN PHYSICAL MEDICINE INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1255651113
- **Authorized official:** LEAH R GLADDEN D.C. (PRESIDENT)
- **Authorized official phone:** (805) 520-2929

## Contact information

- **Practice address:** 2780 TAPO CANYON RD, SUITE A3, SIMI VALLEY, CA 93063-6840
- **Practice address phone:** (805) 520-2929
- **Practice address fax:** (805) 520-2948
- **Mailing address:** 2780 TAPO CANYON RD, SUITE A3, SIMI VALLEY, CA 93063-6840
- **Mailing address phone:** (805) 520-2929
- **Mailing address fax:** (805) 520-2948

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111N00000X | Chiropractor | 25341 | CA | — |
| 111N00000X | Chiropractor | 27915 | CA | — |
| 208D00000X | General Practice Physician | A85781 | CA | Yes |
| 363A00000X | Physician Assistant | 22683 | CA | — |

## Other

- **Enumeration date:** 06/02/2010
- **Last updated:** 03/16/2015