Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RC0200X | Critical Care Medicine | A143518 | CA |
N | 207RP1001X | Pulmonary Disease | A143518 | CA |
NPI | 1033557525 |
---|---|
Provider Name | Dr. Alexandra Rose |
First Address | San Diego, CA 92193-2410 |
Second Address | San Diego, CA 92103-9000 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 06/06/2013 |
Last Update Date | 15/07/2019 |