Update this page – If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS.
Organization
ORTHOODNTICS ONLY
Active
Organization
ORTHOODNTICS ONLY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FAREL A. ROSENBERG DDS,DMD (DOCTOR)
(310) 644-4412
Entity
Organization
Contact information
Practice address
11633 HAWTHORNE BLVD, SUITE #500, HAWTHORNE, CA 90250-2321
(310) 644-4412
(310) 644-7355
Mailing address
11633 HAWTHORNE BLVD, SUITE #500, HAWTHORNE, CA 90250-2321
(310) 644-4412
(310) 644-7355
Taxonomy
Speciality
Code
Description
License number
State
305R00000X
Preferred Provider Organization
Primary
17997
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
102231
DHS INSURANCE
CA
01
—
105969
CIGNA
CA
01
—
189379
CIGNA
CA
01
—
259102
DELTACARE PMI
CA
01
—
549733
UNITED CONCORDIA
CA
01
—
7072
PACIFIC UNION
CA
01
—
98118
AETNA DMO
CA
01
—
B102
GOLDENWEST
CA
01
—
G90737-01
DENTICAL
CA
Enumeration date
02/14/2007
Last updated
08/22/2020
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up