Healthcare Provider Details

I. General information

NPI: 1679856827
Provider Name (Legal Business Name): GINA ROSSETTI M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/23/2011
Last Update Date: 07/25/2025
Certification Date: 07/25/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13222 CHAPMAN AVE
GARDEN GROVE CA
92840-4414
US

IV. Provider business mailing address

2010 E WARNER AVE UNIT 1434
SANTA ANA CA
92705-9031
US

V. Phone/Fax

Practice location:
  • Phone: 855-588-1422
  • Fax:
Mailing address:
  • Phone: 804-332-4303
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License NumberA118518
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: