Organization
ROSAASEN PHYSICAL MEDICINE INC.
Active
Parent organization
ROSAASEN PHYSICAL MEDICINE INC.
Other names
Superior Physical Medicine
Organization subpart
Yes
Provider details
NPI number
Legal business name
ROSAASEN PHYSICAL MEDICINE INC.
Authorized official
DR. JONATHAN ROSAASEN M.D. (MEDICAL DIRECTOR)
(805) 520-2929
Entity
Organization
Contact information
Practice address
2780 TAPO CANYON RD, SUITE A-3, SIMI VALLEY, CA 93063-6840
(805) 520-2929
Mailing address
2980 N BEVERLY GLEN CIR, SUITE 301, LOS ANGELES, CA 90077-1726
(310) 474-9809
Taxonomy
Speciality
Code
Description
License number
State
332900000X
Non-Pharmacy Dispensing Site
Primary
—
—
Other
Enumeration date
01/27/2012
Last updated
03/20/2012
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