Provider Demographics
NPI:1932325628
Name:STRUBE, ROSEMARY (BS, PAC, MS)
Entity Type:Individual
Prefix:MS
First Name:ROSEMARY
Middle Name:
Last Name:STRUBE
Suffix:
Gender:F
Credentials:BS, PAC, MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14553 HESBY ST
Mailing Address - Street 2:
Mailing Address - City:SHERMAN OAKS
Mailing Address - State:CA
Mailing Address - Zip Code:91403-1712
Mailing Address - Country:US
Mailing Address - Phone:818-386-9238
Mailing Address - Fax:
Practice Address - Street 1:USC STUDENT HEALTH SERVICES
Practice Address - Street 2:849 WEST 34TH STREET
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90089-0001
Practice Address - Country:US
Practice Address - Phone:213-740-1799
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-04-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPA 11906363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical