Organization
GUSTAVO A. ROSALES, MD, INC.
Active
Other names
Rosales Medical Group
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GUSTAVO A ROSALES MD (OWNER)
(916) 428-0656
Entity
Organization
Contact information
Practice address
7275 E SOUTHGATE DR, SUITE 102, SACRAMENTO, CA 95823-2628
(916) 428-0656
(916) 428-3763
Mailing address
5385 FRANKLIN BLVD STE K, SACRAMENTO, CA 95820-4717
(916) 428-0656
(916) 428-3763
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
A414750
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A414750
—
CA
Enumeration date
04/02/2008
Last updated
03/31/2009
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