Individual
DR. HERBERT DEL ROSARIO ICASIANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
3751 KATELLA AVE, LOS ALAMITOS, CA 90720-3113
(562) 598-1311
Mailing address
219 N MAIN AVE UNIT 140, SCRANTON, PA 18504-3307
(401) 569-8680
(401) 561-3235
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
19631
CA
207P00000X
Emergency Medicine Physician
OS020260
PA
Other
Enumeration date
05/30/2018
Last updated
05/13/2026
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