MEDICARE: DR. BRETT AARON ROSEN M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207PE0004X	Emergency Medical Services (Emergency Medicine) Physician	A129276	CA
2	207P00000X	Emergency Medicine Physician	A129276	CA

General Provider Information

NPI Number	:	1205129855
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. BRETT AARON ROSEN M.D.

Provider Business Mailing Address
First Line	:	46-E PENINSULA CENTER
Second Line	:	#261
City	:	ROLLING HILLS ESTATES
State	:	CA
Zip	:	90274
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	25825 VERMONT AVE
Second Line	:
City	:	HARBOR CITY
State	:	CA
Zip	:	90710-3518
Country	:	US
Telephone Number	:	310-325-5111
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/16/2011
Last Update Date	:	12/08/2025

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