Individual
DR. DANIEL MARK ROSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
5385 W CENTINELA AVE, LOS ANGELES, CA 90045-2003
(310) 670-7422
(310) 670-4570
Mailing address
5385 W CENTINELA AVE, LOS ANGELES, CA 90045-2003
(310) 670-7422
(310) 670-4570
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
10860T
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
SD0108600
—
CA
Enumeration date
02/23/2007
Last updated
07/08/2007
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