Organization
ROSE DERMATOLOGY MEDICAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BLAIR ROSE MD (OWNER, PHYSICIAN)
(949) 229-0306
Entity
Organization
Contact information
Practice address
360 SAN MIGUEL DR STE 600, NEWPORT BEACH, CA 92660-7853
(949) 229-0306
Mailing address
29911 NIGUEL RD UNIT 6358, LAGUNA NIGUEL, CA 92607-2414
(949) 229-0306
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
Other
Enumeration date
05/02/2026
Last updated
05/02/2026
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