Provider Demographics
NPI:1134315930
Name:ROSING, JAMES H (MD)
Entity Type:Individual
Prefix:DR
First Name:JAMES
Middle Name:H
Last Name:ROSING
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1441 AVOCADO AVE STE 708
Mailing Address - Street 2:
Mailing Address - City:NEWPORT BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:92660-7708
Mailing Address - Country:US
Mailing Address - Phone:949-706-7874
Mailing Address - Fax:949-706-7817
Practice Address - Street 1:1441 AVOCADO AVE STE 708
Practice Address - Street 2:
Practice Address - City:NEWPORT BEACH
Practice Address - State:CA
Practice Address - Zip Code:92660-7708
Practice Address - Country:US
Practice Address - Phone:949-706-7874
Practice Address - Fax:949-706-7817
Is Sole Proprietor?:No
Enumeration Date:2007-09-14
Last Update Date:2020-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA938342082S0099X, 208600000X, 208200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208200000XAllopathic & Osteopathic PhysiciansPlastic Surgery
No2082S0099XAllopathic & Osteopathic PhysiciansPlastic SurgeryPlastic Surgery Within the Head and Neck
No208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
CACA107559OtherPTAN
CADN788ROtherPTAN
CADN788TOtherPTAN
CACA107556OtherPTAN
CACA107557OtherPTAN
CACA107558OtherPTAN
CADN788SOtherPTAN
CAFV682OtherPTAN
CAFV682ZOtherPTAN
CAFV682OtherPTAN