Rosen, Ivan W

Rosen, Ivan W is an individual health care provider with primary practice located at 1115 S Sunset Ave , West Covina CA 91790-3940. He recently has 8 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Body Imaging, Allopathic & Osteopathic Physicians / Neuroradiology, Allopathic & Osteopathic Physicians / Nuclear Radiology, Allopathic & Osteopathic Physicians / Pediatric Radiology, Allopathic & Osteopathic Physicians / Diagnostic Radiology, Allopathic & Osteopathic Physicians / Therapeutic Radiology, Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology, Allopathic & Osteopathic Physicians / Diagnostic Ultrasound. Allopathic & Osteopathic Physicians / Diagnostic Radiology is his primary health care specialty. Rosen, Ivan W can be contacted via phone (626) 814-2540.

Contact Information

Primary practice address
1115 S Sunset Ave West Covina CA 91790-3940
Phone: (626) 814-2540
Fax: (626) 814-2540
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Body Imaging 2085B0100X C24928 California
Allopathic & Osteopathic Physicians / Neuroradiology 2085N0700X C24928 California
Allopathic & Osteopathic Physicians / Nuclear Radiology 2085N0904X C24928 California
Allopathic & Osteopathic Physicians / Pediatric Radiology 2085P0229X C24928 California
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X C24928 California
Allopathic & Osteopathic Physicians / Therapeutic Radiology 2085R0203X C24928 California
Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology 2085R0204X C24928 California
Allopathic & Osteopathic Physicians / Diagnostic Ultrasound 2085U0001X C24928 California

Profile Details

NPI number 1588687255
LBN Legal business name Rosen, Ivan W
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 25th, 2006
Last updated Jul 3rd, 2008 - about 17 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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Identifiers

StateTypeNumberIssuer
All States NPI 1588687255 NPPES
California Other 00C249280 BSBC
California MEDICAID 00C249280 BSBC

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