Individual
MR. MICHAEL BRENDAN ROSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
11234 ANDERSON ST, LOMA LINDA, CA 92350-1716
(877) 558-6248
Mailing address
11234 ANDERSON ST, LOMA LINDA, CA 92350-1716
(877) 558-6248
Taxonomy
Speciality
Code
Description
License number
State
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
C204833
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
376648
—
AZ
Enumeration date
04/08/2012
Last updated
01/12/2026
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