# MEMORY REHABILITATION MEDICAL GROUP INC

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

## Provider details

- **NPI number:** 1578000733
- **Authorized official:** DANIEL M ROSE M.D. (M.D.)
- **Authorized official phone:** (714) 345-8427

## Contact information

- **Practice address:** 9461 FLOWER STREET, BELLFLOWER, CA 90760-5705
- **Practice address phone:** (714) 345-8427
- **Mailing address:** 9461 FLOWER STREET, BELLFLOWER, CA 90760-5705
- **Mailing address phone:** (714) 345-8427

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | A044506 | CA | Yes |

## Other

- **Enumeration date:** 01/26/2017
- **Last updated:** 07/03/2017