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NPI Code Detail

MEDICARE: MR. DANIEL M. ROSE MD

MEDICARE:  MR. DANIEL M. ROSE  MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine PhysicianA44506CA

General Provider Information

NPI Number : 1285668962
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. DANIEL M. ROSE MD
Provider Business Mailing Address
First Line : 14435 HAMLIN ST
Second Line : SUITE #104
City : VAN NUYS
State : CA
Zip : 91401-6205
Country : US
Telephone Number : 714-345-8427
Fax Number : 818-855-1254
Provider Business Practice Location Address
First Line : 14435 HAMLIN ST
Second Line : SUITE #104
City : VAN NUYS
State : CA
Zip : 91401-6205
Country : US
Telephone Number : 714-345-8427
Fax Number : 818-855-1254
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/10/2006
Last Update Date : 04/03/2025

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Directions to “ MR. DANIEL M. ROSE MD” Practice Location

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