Organization
MARK A ROSA
Active
Other names
Mark Rosa OD
Organization subpart
No
Provider details
NPI number
Authorized official
DEBI NEE (MANAGER)
(951) 656-7700
Entity
Organization
Contact information
Practice address
6485 DAY ST STE 205, RIVERSIDE, CA 92507-0931
(951) 656-7700
(951) 656-2472
Mailing address
6485 DAY ST STE 205, RIVERSIDE, CA 92507-0931
(951) 656-7700
(951) 656-2472
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
8575T
CA
Other
Enumeration date
09/23/2009
Last updated
10/19/2011
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