Individual
JOEL ROSENBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
200 W ARBOR DR # 7897, SAN DIEGO, CA 92103-1911
(858) 249-0894
Mailing address
1952 REED AVE, SAN DIEGO, CA 92109-1319
(612) 695-6528
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
1356920458
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/06/2021
Last updated
10/20/2021
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