Provider Demographics
NPI:1285834846
Name:ROZANSKY, ALISON JOY (MD)
Entity Type:Individual
Prefix:
First Name:ALISON
Middle Name:JOY
Last Name:ROZANSKY
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:5353 BALBOA BLVD
Mailing Address - Street 2:SUITE 202
Mailing Address - City:ENCINO
Mailing Address - State:CA
Mailing Address - Zip Code:91316
Mailing Address - Country:US
Mailing Address - Phone:818-789-9449
Mailing Address - Fax:818-789-9339
Practice Address - Street 1:5353 BALBOA BLVD
Practice Address - Street 2:SUITE 202
Practice Address - City:ENCINO
Practice Address - State:CA
Practice Address - Zip Code:91316
Practice Address - Country:US
Practice Address - Phone:818-789-9449
Practice Address - Fax:818-789-9339
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-23
Last Update Date:2009-08-04
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAA103944207XP3100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207XP3100XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryPediatric Orthopaedic Surgery