Organization
DALE M. ROSENBLUM, DPM INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DALE M ROSENBLUM DPM (OWNER/PRESIDENT)
(714) 525-8282
Entity
Organization
Contact information
Practice address
704 N HARBOR BLVD, FULLERTON, CA 92832-1520
(714) 525-8282
(714) 525-0141
Mailing address
704 N HARBOR BLVD, FULLERTON, CA 92832-1520
(714) 525-8282
(714) 525-0141
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
E1472
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0281760001
NSC
CA
Enumeration date
08/06/2008
Last updated
08/06/2008
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