Organization
GARY J ROSENBERG, A PROFESSIONAL MEDICAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GARY JOEL ROSENBERG DO (PRESIDENT)
(248) 770-5179
Entity
Organization
Contact information
Practice address
26921 CROWN VALLEY PKWY STE 201, MISSION VIEJO, CA 92691-6501
(949) 333-2224
Mailing address
71 WINDWALKER WAY, TUSTIN, CA 92782-3739
(248) 770-5179
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
Other
Enumeration date
03/25/2022
Last updated
03/31/2022
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