Individual
STANLEY HERSCHEL ROSSMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6850 SEPULVEDA BLVD, SUITE 211, VAN NUYS, CA 91405-4451
(818) 994-0101
(818) 994-2126
Mailing address
6850 SEPULVEDA BLVD, SUITE 211, VAN NUYS, CA 91405-4451
(818) 994-0101
(818) 902-5566
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
G25627
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1669576211
NPI
CA
01
—
1851495501
NPI
CA
05
—
GR0044500
—
CA
05
—
GR0044501
—
CA
01
—
W11063A
MEDICARE ID
—
01
—
ZZZ31206Z
BLUE SHIELD
CA
01
—
ZZZ47615Z
BLUE SHIELD
CA
Enumeration date
09/12/2006
Last updated
02/10/2014
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