Individual
JOSEPH DE LA ROSA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
401 S TUSTIN ST, ORANGE, CA 92866-2550
(714) 289-3936
Mailing address
401 S TUSTIN ST, ORANGE, CA 92866-2550
(714) 289-3936
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
756659
CA
Other
Enumeration date
04/01/2026
Last updated
04/01/2026
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