# RANDY ROSEN, M.D., A PROF. CORP.

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

## Provider details

- **NPI number:** 1366526618
- **Authorized official:** DR. RANDY ROSEN M.D. (PRESIDENT)
- **Authorized official phone:** (310) 440-3131

## Contact information

- **Practice address:** 120 S SPALDING DR, STE. 301, BEVERLY HILLS, CA 90212-1800
- **Practice address phone:** (310) 385-7755
- **Mailing address:** 11999 SAN VICENTE BLVD, STE. 440, LOS ANGELES, CA 90049-5131
- **Mailing address phone:** (310) 440-3131

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | G82218 | CA | Yes |

## Other

- **Enumeration date:** 10/24/2006
- **Last updated:** 08/01/2008