Individual
PHILIP S. ROSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
18344 CLARK ST, TARZANA, CA 91356-3505
(818) 708-0740
(818) 708-7902
Mailing address
18344 CLARK ST., SUITE 205, TARZANA, CA 91356
(818) 708-0740
(818) 708-7902
Taxonomy
Speciality
Code
Description
License number
State
111NX0800X
Orthopedic Chiropractor
Primary
DC23970
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DC23970
LICENSE NUMBER
CA
Enumeration date
08/01/2006
Last updated
07/08/2007
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