Organization
SALVATORE ROSANIO M D INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SALVATORE ROSANIO MD (OWNER / PRESIDENT)
(951) 698-4433
Entity
Organization
Contact information
Practice address
27555 YNEZ RD STE 400, TEMECULA, CA 92591-4679
(951) 693-4433
(877) 258-1326
Mailing address
PO BOX 899, DANA POINT, CA 92629-0899
(409) 256-6862
(949) 545-7765
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
C55461
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CB238896
MEDICARE PTAN
CA
01
—
PO1518446
RAILROAD MEDICARE PTAN
CA
Enumeration date
05/18/2016
Last updated
10/28/2019
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