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
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #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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