Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207P00000X | Emergency Physician | A129276 | CA |
N | 207PE0004X | Emergency Medical Services | A129276 | CA |
NPI | 1205129855 |
---|---|
Provider Name | Dr. Brett Aaron Rosen |
First Address | Redondo Beach, CA 90277-5601 |
Second Address | Redondo Beach, CA 90277-4226 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 16/05/2011 |
Last Update Date | 10/12/2019 |