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General NPI Number Information
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NPI Number | 1720239288
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Entity Type | Organization
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Legal Business Name | DAVID B ROSENBLUM O D INC
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Dates
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Enumeration Date | 10/02/2008
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Last Update Date | 03/17/2025
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Provider Practice Location Address
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Address Line | 11805 SOUTH ST
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City | CERRITOS
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State | CA
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Zip | 90703-6825
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Country | US
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Telephone | 562-860-4475
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Fax | 562-924-3526
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Provider Business Mailing Address
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Address Line | 11805 SOUTH ST
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City | CERRITOS
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State | CA
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Zip | 90703-6825
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Country | US
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Telephone | 562-860-4475
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Fax | 562-924-3526
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Authorized Official
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Title or Position | PRESIDENT
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Name | HEIDI QT PHAM-MURPHY
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Credential | OD
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Telephone | 949-640-4473
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 10235T
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License Number State | CA
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