Healthcare Provider Details

I. General information

NPI: 1669577334
Provider Name (Legal Business Name): CARLA J. ROSAL M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/14/2006
Last Update Date: 09/09/2025
Certification Date: 09/09/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5 LOWER RAGSDALE DR 100
MONTEREY CA
93940-5817
US

IV. Provider business mailing address

PO BOX 4363
SALINAS CA
93912-4363
US

V. Phone/Fax

Practice location:
  • Phone: 831-624-7070
  • Fax: 831-624-3612
Mailing address:
  • Phone: 831-649-1000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberA68599
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: