Provider Demographics
NPI:1619387941
Name:ROSE WOMEN'S HEALTH
Entity Type:Organization
Organization Name:ROSE WOMEN'S HEALTH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MD
Authorized Official - Prefix:
Authorized Official - First Name:ANYA
Authorized Official - Middle Name:
Authorized Official - Last Name:ROSE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:626-461-7071
Mailing Address - Street 1:289 W HUNTINGTON DR STE 207
Mailing Address - Street 2:
Mailing Address - City:ARCADIA
Mailing Address - State:CA
Mailing Address - Zip Code:91007-3497
Mailing Address - Country:US
Mailing Address - Phone:626-461-7071
Mailing Address - Fax:626-768-2808
Practice Address - Street 1:289 W HUNTINGTON DR STE 207
Practice Address - Street 2:
Practice Address - City:ARCADIA
Practice Address - State:CA
Practice Address - Zip Code:91007-3497
Practice Address - Country:US
Practice Address - Phone:626-461-7071
Practice Address - Fax:626-768-2808
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-05-08
Last Update Date:2023-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty