Healthcare Provider Details

I. General information

NPI: 1023392164
Provider Name (Legal Business Name): JAMES H. ROSING, MD, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/07/2011
Last Update Date: 07/26/2023
Certification Date: 07/26/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1441 AVOCADO AVE STE 708
NEWPORT BEACH CA
92660-7708
US

IV. Provider business mailing address

1441 AVOCADO AVE STE 708
NEWPORT BEACH CA
92660-7708
US

V. Phone/Fax

Practice location:
  • Phone: 949-706-7874
  • Fax: 949-706-7817
Mailing address:
  • Phone: 949-706-7874
  • Fax: 949-706-7817

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208200000X
TaxonomyPlastic Surgery Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code208600000X
TaxonomySurgery Physician
License Number
License Number State

VIII. Authorized Official

Name: JAMES H. ROSING
Title or Position: PRESIDENT
Credential: MD
Phone: 949-706-7874