# GUSTAVO A ROSALES MD, INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Rosales Medical Group
- **Organization subpart:** No

## Provider details

- **NPI number:** 1528270063
- **Authorized official:** DR. GUSTAVO A ROSALES MD (OWNER)
- **Authorized official phone:** (916) 428-0656

## Contact information

- **Practice address:** 5385 FRANKLIN BLVD SUITE K, SACRAMENTO, CA 95820
- **Practice address phone:** (916) 428-0656
- **Practice address fax:** (916) 428-3763
- **Mailing address:** 5385 FRANKLIN BLVD SUITE K, SACRAMENTO, CA 95820
- **Mailing address phone:** (916) 428-0656
- **Mailing address fax:** (916) 428-3763

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | A414750 | CA | Yes |

## Other

- **Enumeration date:** 05/04/2007
- **Last updated:** 07/02/2012

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 00A414750 | — | CA |