Provider Demographics
NPI:1821251828
Name:LIGANOR, ROSELLE ESTANISLAO (DO)
Entity Type:Individual
Prefix:DR
First Name:ROSELLE
Middle Name:ESTANISLAO
Last Name:LIGANOR
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10072 BRANFORD RD
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92129-3223
Mailing Address - Country:US
Mailing Address - Phone:858-603-8050
Mailing Address - Fax:
Practice Address - Street 1:2170 S EL CAMINO REAL STE 117-122
Practice Address - Street 2:
Practice Address - City:OCEANSIDE
Practice Address - State:CA
Practice Address - Zip Code:92054-6203
Practice Address - Country:US
Practice Address - Phone:760-730-8060
Practice Address - Fax:760-730-8061
Is Sole Proprietor?:No
Enumeration Date:2008-07-09
Last Update Date:2021-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA20A13943204D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes204D00000XAllopathic & Osteopathic PhysiciansNeuromusculoskeletal Medicine & OMM