Organization
THERCARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AMBER SHAW ROSENSTOCK M.D.R., PH. D. (PSYCHOLOGIST)
(310) 949-9267
Entity
Organization
Contact information
Practice address
11980 SAN VICENTE BLVD., SUITE 711, LOS ANGELES, CA 90049
(310) 949-9267
(310) 826-7823
Mailing address
11980 SAN VICENTE BLVD., SUITE 711, LOS ANGELES, CA 90049
(310) 949-9267
(310) 826-7823
Taxonomy
Speciality
Code
Description
License number
State
103TA0400X
Addiction (Substance Use Disorder) Psychologist
Primary
PSY22454
CA
Other
Enumeration date
07/27/2010
Last updated
07/27/2010
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