Provider Demographics
NPI:1861464612
Name:DINSAY, ROSELYN M (MD)
Entity Type:Individual
Prefix:DR
First Name:ROSELYN
Middle Name:M
Last Name:DINSAY
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:435 ARDEN AVE
Mailing Address - Street 2:SUITE 340
Mailing Address - City:GLENDALE
Mailing Address - State:CA
Mailing Address - Zip Code:91203-1130
Mailing Address - Country:US
Mailing Address - Phone:818-246-7245
Mailing Address - Fax:818-246-7265
Practice Address - Street 1:435 ARDEN AVE
Practice Address - Street 2:SUITE 340
Practice Address - City:GLENDALE
Practice Address - State:CA
Practice Address - Zip Code:91203-1130
Practice Address - Country:US
Practice Address - Phone:818-246-7245
Practice Address - Fax:818-246-7265
Is Sole Proprietor?:No
Enumeration Date:2006-02-06
Last Update Date:2012-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG85448207VE0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VE0102XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyReproductive Endocrinology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAG85448OtherMEDICAL BOARD LICENSE
H03211Medicare UPIN