Provider Demographics
NPI:1710441068
Name:ROSE CONSULTANTS
Entity Type:Organization
Organization Name:ROSE CONSULTANTS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/ACUPUNCTURIST
Authorized Official - Prefix:MRS
Authorized Official - First Name:JOHANNE
Authorized Official - Middle Name:
Authorized Official - Last Name:ROSE
Authorized Official - Suffix:
Authorized Official - Credentials:LIC AC
Authorized Official - Phone:805-616-9973
Mailing Address - Street 1:141 BARDSDALE AVE
Mailing Address - Street 2:
Mailing Address - City:OXNARD
Mailing Address - State:CA
Mailing Address - Zip Code:93035-4502
Mailing Address - Country:US
Mailing Address - Phone:805-616-9973
Mailing Address - Fax:
Practice Address - Street 1:4564 TELEPHONE RD STE 804
Practice Address - Street 2:
Practice Address - City:VENTURA
Practice Address - State:CA
Practice Address - Zip Code:93003-5661
Practice Address - Country:US
Practice Address - Phone:805-616-9973
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-01-30
Last Update Date:2019-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service