Individual
DR. SAMUEL R ROSENFELD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
1310 W STEWART DR, SUITE 508, ORANGE, CA 92868-3854
(714) 633-2111
(714) 633-5615
Mailing address
1310 W STEWART DR, SUITE 508, ORANGE, CA 92868-3854
(714) 633-2111
(714) 633-5615
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
G37045
CA
207XP3100X
Pediatric Orthopaedic Surgery Physician
Primary
G37045
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ES394Y
INDIVIDUAL PTAN
CA
Enumeration date
06/29/2006
Last updated
11/07/2016
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