Individual
LENA ELSSA ROSENGREN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
3710 E CESAR E CHAVEZ AVE, LOS ANGELES, CA 90063-2219
(323) 980-7777
(323) 980-7778
Mailing address
3710 E CESAR E CHAVEZ AVE, LOS ANGELES, CA 90063-2219
(323) 980-7777
(323) 980-7778
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA18216
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PA18216
—
CA
Enumeration date
11/01/2006
Last updated
07/09/2007
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