Individual
CHRISTOPHER M ROSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
181 S BUENA VISTA ST, BURBANK, CA 91505-4504
(818) 847-3440
(818) 847-3499
Mailing address
PO BOX 513969, LOS ANGELES, CA 90051-3969
(310) 335-4065
(310) 335-4098
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
G49966
CA
2085R0001X
Radiation Oncology Physician
Primary
C43111
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G499660
—
CA
01
—
300080912
RR MEDICARE
CA
05
—
59186232
—
CO
01
—
920006960
RR MEDICARE
CA
01
—
920007065
RR MEDICARE - CO
CO
Enumeration date
07/08/2005
Last updated
06/01/2015
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