Rosenberg, Fredric Robert
Rosenberg, Fredric Robert is an sole proprietor health care provider with primary practice located at 3650 E. South Street #306, Lakewood CA 90712. He recently has 6 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Dermatology, Allopathic & Osteopathic Physicians / Clinical & Laboratory Dermatological Immunology, Allopathic & Osteopathic Physicians / Procedural Dermatology, Allopathic & Osteopathic Physicians / Dermatopathology, Allopathic & Osteopathic Physicians / Pediatric Dermatology, Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery. Allopathic & Osteopathic Physicians / Dermatology is his primary health care specialty. Rosenberg, Fredric Robert can be contacted via phone (310) 378-1915.Contact Information
Primary practice address
3650 E. South Street #306
Lakewood CA 90712
Phone: (310) 378-1915
Fax: (310) 378-6979
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | G21402 | California |
| Allopathic & Osteopathic Physicians / Clinical & Laboratory Dermatological Immunology | 207NI0002X | G21402 | California |
| Allopathic & Osteopathic Physicians / Procedural Dermatology | 207NS0135X | G21402 | California |
| Allopathic & Osteopathic Physicians / Dermatopathology | 207ND0900X | G21402 | California |
| Allopathic & Osteopathic Physicians / Pediatric Dermatology | 207NP0225X | G21402 | California |
| Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery | 207ND0101X | G21402 | California |
Profile Details
| NPI number | 1295885630 |
|---|---|
| LBN Legal business name | Rosenberg, Fredric Robert |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 10th, 2007 |
| Last updated | Oct 12th, 2010 - about 15 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1295885630 | NPPES |
| California | Other | 4024334 | AETNA |
| California | MEDICAID | 00G214020 | AETNA |
| California | Other | G21402 | AETNA |
| California | Other | ZZZ12556Z | AETNA |
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