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Organization
NICHOLAS E. ROSE, MD, INC.
Active
Organization
NICHOLAS E. ROSE, MD, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KAREN KAWADA (BILLING MANAGER)
(949) 270-0344
Entity
Organization
Contact information
Practice address
360 SAN MIGUEL DR STE 701, NEWPORT BEACH, CA 92660-5927
(949) 759-3600
(949) 759-0282
Mailing address
360 SAN MIGUEL DR STE 701, NEWPORT BEACH, CA 92660-5927
(949) 759-3600
(949) 759-0282
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
G74766
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
G74766
MEDICARE PROVIDER
CA
Enumeration date
01/13/2012
Last updated
01/13/2012
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