Organization
ROSAASEN FAMILY MEDICINE, INC.
Active
Other names
Rosaasen Family Medicine, Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JONATHAN ROSAASEN M.D. (PRESIDENT)
(805) 492-1015
Entity
Organization
Contact information
Practice address
187 E WILBUR RD # 100, THOUSAND OAKS, CA 91360-5572
(805) 492-1015
(805) 492-2035
Mailing address
187 E WILBUR RD # 100, THOUSAND OAKS, CA 91360-5572
(805) 492-1015
(805) 492-2035
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1073150744
YOUNG
CA
01
—
1174166714
ESGATE
CA
01
—
1497868376
FAMILY MEDICINE
CA
01
—
1528151352
FAMILY MEDICINE
CA
Enumeration date
05/14/2013
Last updated
10/13/2020
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