MEDICARE: DR. SHILO ROSENBERG 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	208800000X	Urology Physician	A156707	CA

General Provider Information

NPI Number	:	1295107456
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SHILO ROSENBERG M.D.

Provider Business Mailing Address
First Line	:	PO BOX 31309
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90031-0309
Country	:	US
Telephone Number	:	323-865-3700
Fax Number	:	323-865-0120

Provider Business Practice Location Address
First Line	:	100 WILLOW PLZ STE 201
Second Line	:
City	:	VISALIA
State	:	CA
Zip	:	93291-6213
Country	:	US
Telephone Number	:	559-734-0388
Fax Number	:

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

Provider Enumeration Date	:	10/28/2015
Last Update Date	:	02/23/2026

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Directions to “ DR. SHILO ROSENBERG M.D.” Practice Location

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