Rose, Raphael D.
Rose, Raphael D. is an sole proprietor health care provider with primary practice located at 11022 Santa Monica Blvd Ste 250 , Los Angeles CA 90025-7573. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Cognitive & Behavioral. Behavioral Health & Social Service Providers / Cognitive & Behavioral is his primary health care specialty. Rose, Raphael D. can be contacted via phone (310) 882-8697.Contact Information
Primary practice address
11022 Santa Monica Blvd Ste 250
Los Angeles CA 90025-7573
Phone: (310) 882-8697
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 21412 | California |
Behavioral Health & Social Service Providers / Cognitive & Behavioral | 103TB0200X | 21412 | California |
Profile Details
NPI number | 1689813941 |
---|---|
LBN Legal business name | Rose, Raphael D. |
Credentials | PH.D. |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Feb 10th, 2009 |
Last updated | Mar 17th, 2018 - about 6 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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