Individual
DR. BONNIE D. ROSENBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
621 S WESTERN AVE STE 214, LOS ANGELES, CA 90005-3042
(213) 389-1001
Mailing address
PO BOX 642761, LOS ANGELES, CA 90064-8258
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
27OA00679400
NJ
152W00000X
Optometrist
27OM00146800
NJ
152W00000X
Optometrist
Primary
OPT35656-TLG
CA
152W00000X
Optometrist
TUV008859
NY
Other
Enumeration date
07/18/2017
Last updated
09/04/2024
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