Rose Medical Group

LBN: Rose Medical Group
Rose Medical Group is an health care organization with primary practice located at 2400 N Broadway , Los Angeles CA 90031-2219. The organization recently has only one registered license in Eye and Vision Services Providers / Ophthalmic, which is considered as the primary health care specialty. Rose Medical Group can be contacted via phone (323) 221-6121, or through Rose, Michael R. via phone (323) 221-6121.

Contact Information

Primary practice address
2400 N Broadway Los Angeles CA 90031-2219
Phone: (323) 221-6121
Fax: (323) 221-6120
Website:
Map and Directions
Authorized official contact:
Name: Rose, Michael R. G33914
Phone: (323) 221-6121

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Ophthalmic 156FX1100X

Profile Details

NPI number 1720189061
LBN Legal business name Rose Medical Group
DBA Doing business as
Authorized official Rose, Michael R. G33914
Entity Organization
Organization subpart 1 No
Enumeration date Sep 26th, 2006
Last updated Apr 24th, 2008 - about 16 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1720189061 NPPES
California MEDICAID GR0014310

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