Organization
ROSAASEN PHYSICAL MEDICINE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LEAH R GLADDEN D.C. (PRESIDENT)
(805) 520-2929
Entity
Organization
Contact information
Practice address
2780 TAPO CANYON RD, SUITE A3, SIMI VALLEY, CA 93063-6840
(805) 520-2929
(805) 520-2948
Mailing address
2780 TAPO CANYON RD, SUITE A3, SIMI VALLEY, CA 93063-6840
(805) 520-2929
(805) 520-2948
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
25341
CA
111N00000X
Chiropractor
27915
CA
208D00000X
General Practice Physician
Primary
A85781
CA
363A00000X
Physician Assistant
22683
CA
Other
Enumeration date
06/02/2010
Last updated
03/16/2015
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