Individual
LEE S ROSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2020 SANTA MONICA BLVD, SUITE 510, SANTA MONICA, CA 90404-2023
(310) 633-8400
(310) 633-8419
Mailing address
4550 RUBIO AVE, ENCINO, CA 91436-3202
(818) 783-1380
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
A49741
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A49741
MEDICAL LICENSE
CA
Enumeration date
05/23/2006
Last updated
09/24/2012
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