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NPI Code Detail

MEDICARE: MS. ROSEMARY STRUBE BS, PAC, MS

MEDICARE:  MS. ROSEMARY  STRUBE  BS, PAC, MS
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
1363AM0700XMedical Physician AssistantPA 11906CA

General Provider Information

NPI Number : 1932325628
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. ROSEMARY STRUBE BS, PAC, MS
Provider Business Mailing Address
First Line : 14553 HESBY ST
Second Line :
City : SHERMAN OAKS
State : CA
Zip : 91403-1712
Country : US
Telephone Number : 818-386-9238
Fax Number :
Provider Business Practice Location Address
First Line : USC STUDENT HEALTH SERVICES
Second Line : 849 WEST 34TH STREET
City : LOS ANGELES
State : CA
Zip : 90089-0001
Country : US
Telephone Number : 213-740-1799
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/18/2007
Last Update Date : 07/08/2007

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