Individual
ELAINE L ROSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
27924 SECO CANYON RD, SANTA CLARITA, CA 91350-3870
(661) 513-2100
Mailing address
PO BOX 9602, MISSION HILLS, CA 91346-9602
(818) 837-5559
(818) 792-4793
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
A50232
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A502320
—
CA
Enumeration date
07/12/2006
Last updated
09/08/2015
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