Healthcare Provider Details

I. General information

NPI: 1871574178
Provider Name (Legal Business Name): CATHERINE MARY ROSENBERGER RPH
Entity Type: Individual
Gender: Female
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 11/14/2005
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11550 INDIAN HILLS RD SUITE 130
MISSION HILLS CA
91345-1200
US

IV. Provider business mailing address

12042 DELANTE WAY
GRANADA HILLS CA
91344-2141
US

V. Phone/Fax

Practice location:
  • Phone: 818-898-1628
  • Fax: 818-365-3539
Mailing address:
  • Phone: 818-832-0503
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberPHY36160
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: