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NPI Code Detail

MEDICARE: DR. CARINE EDEN ROSENBERG DO

MEDICARE:  DR. CARINE EDEN ROSENBERG  DO
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
1390200000XStudent in an Organized Health Care Education/Training Program

General Provider Information

NPI Number : 1457299620
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. CARINE EDEN ROSENBERG DO
Provider Business Mailing Address
First Line : 6911 CONVOY CT FL 2
Second Line :
City : SAN DIEGO
State : CA
Zip : 92111-1014
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 6911 CONVOY CT FL 2
Second Line :
City : SAN DIEGO
State : CA
Zip : 92111-1014
Country : US
Telephone Number : 619-528-5164
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/23/2026
Last Update Date : 03/23/2026

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Directions to “ DR. CARINE EDEN ROSENBERG DO” Practice Location

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