Provider Demographics
NPI:1013258714
Name:ROSAS CHIROPRACTIC INC
Entity type:Organization
Organization Name:ROSAS CHIROPRACTIC INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIROPRACTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:ROBERTO
Authorized Official - Middle Name:C
Authorized Official - Last Name:ROSAS
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:714-454-6227
Mailing Address - Street 1:19171 MAGNOLIA ST
Mailing Address - Street 2:#2
Mailing Address - City:HUNTINGTON BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:92646-2244
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:19171 MAGNOLIA ST
Practice Address - Street 2:#2
Practice Address - City:HUNTINGTON BEACH
Practice Address - State:CA
Practice Address - Zip Code:92646-2244
Practice Address - Country:US
Practice Address - Phone:714-454-6227
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-03-06
Last Update Date:2013-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA32507111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty