Provider Demographics
NPI:1417031642
Name:CU, ROSA GO (MD)
Entity Type:Individual
Prefix:DR
First Name:ROSA
Middle Name:GO
Last Name:CU
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:933 S SUNSET AVE #206
Mailing Address - Street 2:
Mailing Address - City:WEST COVINA
Mailing Address - State:CA
Mailing Address - Zip Code:91790
Mailing Address - Country:US
Mailing Address - Phone:626-960-2977
Mailing Address - Fax:626-960-2979
Practice Address - Street 1:933 S SUNSET AVE #206
Practice Address - Street 2:
Practice Address - City:WEST COVINA
Practice Address - State:CA
Practice Address - Zip Code:91790
Practice Address - Country:US
Practice Address - Phone:626-960-2977
Practice Address - Fax:626-960-2979
Is Sole Proprietor?:No
Enumeration Date:2006-10-24
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAA35971208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00A359710Medicaid