Organization
ROSEN ANESTHESIA GROUP, A PROFESSIONAL MEDICAL CORPORATION
Active
Other names
SOUTHERN CALIFORNIA INTERVENTIONAL PAIN MANAGEMENT GROUP
Organization subpart
No
Provider details
NPI number
Authorized official
RANDY ROSEN M.D. (PRESIDENT)
(951) 699-0303
Entity
Organization
Contact information
Practice address
11340 W OLYMPIC BLVD, SUITE 160, LOS ANGELES, CA 90064-1608
(951) 699-0303
Mailing address
PO BOX 893520, TEMECULA, CA 92589-3520
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
—
—
208VP0014X
Interventional Pain Medicine Physician
Primary
—
—
Other
Enumeration date
11/10/2009
Last updated
11/10/2009
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