Dr. Fredric Robert Rosenberg
Dermatologist Dermatopathologist Procedural Dermatology Pediatric Dermatologist and 1 more
3650 E. South Street #306
Lakewood
, California 90712
Dr. Fredric Robert Rosenberg
Dermatologist Dermatopathologist Procedural Dermatology Pediatric Dermatologist and 1 more
3650 E. South Street #306
Lakewood
, California 90712
(310) 378-6979
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About
Features
Specialties
- Dermatologist
- MOHS-Micrographic Surgeon
- Dermatopathologist
- Pediatric Dermatologist
- Procedural Dermatology
Languages spoken
- English
Location
First Address
- Dr. Fredric Robert Rosenberg
- 3650 E. South Street #306
- Lakewood, CA
- Zip : 90712
- Fax : (310) 378-6979
- Phone : (310) 378-1915
Second Address
- Dr. Fredric Robert Rosenberg
- 3650 E. South Street #306
- Lakewood, CA
- Zip : 90712
- Fax : (310) 378-6979
- Phone : (310) 378-1915
Reviews
FAQs
Where did Dr. Fredric Robert Rosenberg attend graduate school?
Where did Dr. Fredric Robert Rosenberg do his residency?
Where did Dr. Fredric Robert Rosenberg do his fellowship?
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What type of doctor is Dr. Fredric Robert Rosenberg
In what state does Dr. Fredric Robert Rosenberg practice in?
Where is Dr. Fredric Robert Rosenberg ’s practice located?
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Is Dr. Fredric Robert Rosenberg a sole practitioner?
Is Dr. Fredric Robert Rosenberg accepting new patients?
What languages does Dr. Fredric Robert Rosenberg speak?
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Does Dr. Fredric Robert Rosenberg have any license restrictions?
Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207N00000X | Dermatologist | G21402 | CA |
| N | 207ND0101X | MOHS-Micrographic Surgeon | G21402 | CA |
| N | 207ND0900X | Dermatopathologist | G21402 | CA |
| N | 207NP0225X | Pediatric Dermatologist | G21402 | CA |
| N | 207NS0135X | Procedural Dermatology | G21402 | CA |
National Provider Identifier
| NPI | 1295885630 |
|---|---|
| Provider Name | Dr. Fredric Robert Rosenberg |
| First Address | Lakewood, CA 90712 |
| Second Address | Lakewood, CA 90712 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 10/01/2007 |
| Last Update Date | 12/10/2010 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 00G214020 | (05) | CA |
| 4024334 | AETNA (01) | CA |
| A41277 | (02) | CA |
| G21402 | STATE LICENSE (01) | CA |
| ZZZ12556Z | BLUE SHIELD (01) | CA |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.