Organization
RANDY ROSEN, M.D., A PROF. CORP.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RANDY ROSEN M.D. (PRESIDENT)
(310) 440-3131
Entity
Organization
Contact information
Practice address
120 S SPALDING DR, STE. 301, BEVERLY HILLS, CA 90212-1800
(310) 385-7755
Mailing address
11999 SAN VICENTE BLVD, STE. 440, LOS ANGELES, CA 90049-5131
(310) 440-3131
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
G82218
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G822180
—
CA
Enumeration date
10/24/2006
Last updated
08/01/2008
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