Individual
ROSE J EAPEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2809 N SEPULVEDA BLVD, MANHATTAN BEACH, CA 90266-2727
(424) 218-6073
(424) 226-3064
Mailing address
2711 N SEPULVEDA BLVD # 520, MANHATTAN BEACH, CA 90266-2725
(424) 218-6073
(424) 226-3064
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
G154556
CA
207YP0228X
Pediatric Otolaryngology Physician
Primary
2012-00236
NC
207YP0228X
Pediatric Otolaryngology Physician
G154556
CA
207YS0012X
Sleep Medicine (Otolaryngology) Physician
G154556
CA
207YX0602X
Otolaryngic Allergy Physician
G154556
CA
207YX0901X
Otology & Neurotology Physician
G154556
CA
207YX0905X
Otolaryngology/Facial Plastic Surgery Physician
2012-00236
NC
207YX0905X
Otolaryngology/Facial Plastic Surgery Physician
G154556
CA
Other
Enumeration date
04/26/2007
Last updated
07/09/2020
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