Individual
JOSE LUIS DE LA ROSA
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
16415 COLORADO AVE, SUITE 103, PARAMOUNT, CA 90723-5035
(562) 531-0733
(562) 531-0733
Mailing address
16415 COLORADO AVE, SUITE 103, PARAMOUNT, CA 90723-5035
(562) 531-0733
(562) 531-0733
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
A43518
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7051217
—
CA
Enumeration date
04/14/2006
Last updated
07/09/2007
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