Healthcare Provider Details

I. General information

NPI: 1275911844
Provider Name (Legal Business Name): ROSEMARIE FLORIAN M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/14/2015
Last Update Date: 07/23/2020
Certification Date: 07/23/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11234 ANDERSON ST RM 1503
LOMA LINDA CA
92350
US

IV. Provider business mailing address

11234 ANDERSON ST RM 1503
LOMA LINDA CA
92350-1716
US

V. Phone/Fax

Practice location:
  • Phone: 909-558-7263
  • Fax:
Mailing address:
  • Phone: 909-558-7263
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberA148259
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code2083P0901X
TaxonomyPublic Health & General Preventive Medicine Physician
License NumberA148259
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: