Individual
CHARLES P ROSENBAUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
14445 OLIVE VIEW DRIVE, SYLMAR,, CA 91342-1437
(818) 364-1555
(818) 986-6365
Mailing address
14445 OLIVE VIEW DR, OLIVE VIEW -UCLA- MEDICAL CENTER, SYLMAR, CA 91342-1437
(818) 364-1555
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
G14667
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G146670
—
CA
Enumeration date
07/24/2006
Last updated
03/30/2010
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