Provider Demographics
NPI:1659305332
Name:ROZENBERG, BRIGITTE (DC)
Entity Type:Individual
Prefix:DR
First Name:BRIGITTE
Middle Name:
Last Name:ROZENBERG
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12568 W WASHINGTON BLVD STE 202
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90066-5559
Mailing Address - Country:US
Mailing Address - Phone:310-482-3252
Mailing Address - Fax:310-482-3255
Practice Address - Street 1:12568 W WASHINGTON BLVD STE 202
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90066-5559
Practice Address - Country:US
Practice Address - Phone:310-482-3252
Practice Address - Fax:310-482-3255
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-10
Last Update Date:2009-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC23971111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor