Individual
NICHOLAS ELIAS ROSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
360 SAN MIGUEL DR, SUITE#701, NEWPORT BEACH, CA 92660-7853
(949) 759-3600
(949) 759-0282
Mailing address
360 SAN MIGUEL DR, SUITE#701, NEWPORT BEACH, CA 92660-7853
(949) 759-3600
(949) 759-0282
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
G74766
CA
207XS0106X
Orthopaedic Hand Surgery Physician
Primary
G74766
CA
Other
Enumeration date
06/27/2006
Last updated
01/13/2012
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