# GARY J ROSENBERG, A PROFESSIONAL MEDICAL CORPORATION

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

## Provider details

- **NPI number:** 1952051567
- **Authorized official:** DR. GARY JOEL ROSENBERG DO (PRESIDENT)
- **Authorized official phone:** (248) 770-5179

## Contact information

- **Practice address:** 26921 CROWN VALLEY PKWY STE 201, MISSION VIEJO, CA 92691-6501
- **Practice address phone:** (949) 333-2224
- **Mailing address:** 71 WINDWALKER WAY, TUSTIN, CA 92782-3739
- **Mailing address phone:** (248) 770-5179

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207X00000X | Orthopaedic Surgery Physician | — | NULL | Yes |
| 207X00000X | Orthopaedic Surgery Physician | — | — | Yes |

## Other

- **Enumeration date:** 03/25/2022
- **Last updated:** 03/31/2022