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Individual

DR. DAVID A ROSENBERG

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
10941 BLOOMFIELD ST STE A, LOS ALAMITOS, CA 90720-6702
(562) 598-7780
(562) 598-2283
Mailing address
PO BOX 4170, SEAL BEACH, CA 90740-8170
(562) 598-7780
(562) 598-2283

Taxonomy

Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
G42241
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00G422411
CA
01
100013780001
BLUE SHIELD OF CA
01
199557500
US DEPT OF LABOR (ASC)
Enumeration date
06/12/2006
Last updated
08/18/2021
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