Individual
DR. DANIEL JOSEPH ROSENBAUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
4725 MARKET ST, SAN DIEGO, CA 92102-4715
(619) 515-2560
Mailing address
823 GATEWAY CENTER WAY, SAN DIEGO, CA 92102-4541
(619) 906-4623
(619) 906-4564
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPT8314
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8314
LIC
CA
Enumeration date
07/20/2006
Last updated
03/17/2018
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