Individual
TENA LA DAWN ROSSER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4650 SUNSET BOULEVARD, M.S. #82, LOS ANGELES, CA 90027-6062
(323) 361-2940
(323) 361-1109
Mailing address
4650 SUNSET BOULEVARD, M.S. #82, LOS ANGELES, CA 90027-6062
(323) 361-2940
(323) 361-1109
Taxonomy
Speciality
Code
Description
License number
State
2084N0402X
Neurology with Special Qualifications in Child Neurology Physician
Primary
A88668
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A886680
—
CA
01
—
00A886680 L59
CAL OPTIMA
CA
Enumeration date
10/05/2006
Last updated
08/24/2011
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