MICHAEL D. ROSBERG


Address: 2457 Endicott St, Los Angeles, CA 90032-3047
Phone: 8186935830

MICHAEL D. ROSBERG (NPI# 1700926474) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1700926474
Entity Type Individual
Full Name MICHAEL D. ROSBERG
Credential PHD
Practice Address 2457 Endicott St
Los Angeles
CA 90032-3047
Practice Telephone 8186935830
Mailing Telephone 8186935830
Enumeration Date 2007-02-08
Last Update Date 2011-10-24
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103TC0700X Psychologist
Specialization: Clinical
PSY15355 CA Behavioral Health & Social Service Providers

Office Location

Street Address 2457 ENDICOTT ST
City LOS ANGELES
State CA
Zip Code 90032-3047

Providers in the same location

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1821625138 Asc Treatment Group Psychiatric Residential Treatment Facility 2457 Endicott St, Los Angeles, CA 90032-3098 2020-03-25
1184186330 Andrew Salazar Rehabilitation Practitioner 2457 Endicott St, Los Angeles, CA 90032-3047 2019-04-04
1750804894 Ophelia Alvarez Licensed Vocational Nurse 2457 Endicott St, Los Angeles, CA 90032-3047 2017-07-20
1396155008 Shawn Barracks Licensed Vocational Nurse 2457 Endicott St, Los Angeles, CA 90032-3047 2014-05-02
1316295611 Sonja Smith Counselor 2457 Endicott St, Los Angeles, CA 90032-3047 2012-08-17
1750557013 Danny Morales Echeverria Counselor 2457 Endicott St, Los Angeles, CA 90032-3047 2008-05-06

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1679851885 Joshua M Arellano Physical Therapist 3836 Hellman Ave, Los Angeles, CA 90032 2011-07-22
1346532322 Brenda Ramires-torres Counselor 2457 Endicott Street, Los Angeles, CA 90032 2011-05-09
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Taxonomy Information

Taxonomy Code 103TC0700X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization Clinical

Taxonomy Definition

Definition to come...

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Competitor

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City LOS ANGELES
Zip Code 90032

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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