Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VE0102X | Reproductive Endocrinologist | G054762 | CA |
NPI | 1285720417 |
---|---|
Provider Name | Gregory F. Rosen |
First Address | Westminster, CA 92683-2900 |
Second Address | Westminster, CA 92683-2900 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/10/2006 |
Last Update Date | 08/07/2007 |