MEDICARE: DR. ROSELYN M DINSAY MD

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	207VE0102X	Reproductive Endocrinology Physician	G85448	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	G85448	OTHER	CA	MEDICAL BOARD LICENSE

General Provider Information

NPI Number	:	1861464612
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ROSELYN M DINSAY MD

Provider Business Mailing Address
First Line	:	435 ARDEN AVE
Second Line	:	SUITE 340
City	:	GLENDALE
State	:	CA
Zip	:	91203-1130
Country	:	US
Telephone Number	:	818-246-7245
Fax Number	:	818-246-7265

Provider Business Practice Location Address
First Line	:	435 ARDEN AVE
Second Line	:	SUITE 340
City	:	GLENDALE
State	:	CA
Zip	:	91203-1130
Country	:	US
Telephone Number	:	818-246-7245
Fax Number	:	818-246-7265

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

Provider Enumeration Date	:	02/06/2006
Last Update Date	:	06/11/2012

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