Individual
DR. MARC R ROSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3420 BRISTOL ST STE 700, COSTA MESA, CA 92626-7137
(310) 230-7400
(310) 230-7440
Mailing address
PO BOX 26289, SANTA ANA, CA 92799-6203
(310) 230-7400
(310) 230-7440
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
C37054
CA
208D00000X
General Practice Physician
C37054
CA
Other
Enumeration date
09/26/2006
Last updated
08/20/2014
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