Individual
DR. STACEY ROSENBAUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
421 N. RODEO DR, PH 1, BEVERLY HILLS, CA 90210-4536
(310) 432-6646
(310) 432-6647
Mailing address
9663 SANTA MONICA BLVD, STE 676, BEVERLY HILLS, CA 90210-4303
(310) 860-1120
(310) 860-1130
Taxonomy
Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
A79423
CA
Other
Enumeration date
08/13/2006
Last updated
01/17/2017
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