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Organization

RICHARD A. ROSENBERG DPM INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
RICHARD ARTHUR ROSENBERG DPM (OWNER)
(562) 633-5881
Entity
Organization

Contact information

Practice address
3300 E SOUTH ST, ST 306, LAKEWOOD, CA 90805-4549
(562) 633-5881
(562) 633-3646
Mailing address
3300 E SOUTH ST, ST 306, LAKEWOOD, CA 90805-4549
(562) 633-5881
(562) 633-3646

Taxonomy

Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
332BC3200X
Customized Equipment (DME)
E2466
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000E24660
CA
Enumeration date
01/28/2008
Last updated
02/05/2021
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