Provider Demographics
NPI:1669582938
Name:OSIAS, ROSALIA REBADULLA (MD)
Entity type:Individual
Prefix:
First Name:ROSALIA
Middle Name:REBADULLA
Last Name:OSIAS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3340 W BALL RD
Mailing Address - Street 2:SUITE F
Mailing Address - City:ANAHEIM
Mailing Address - State:CA
Mailing Address - Zip Code:92804-3729
Mailing Address - Country:US
Mailing Address - Phone:714-723-0787
Mailing Address - Fax:714-723-0794
Practice Address - Street 1:3340 W BALL RD
Practice Address - Street 2:SUITE F
Practice Address - City:ANAHEIM
Practice Address - State:CA
Practice Address - Zip Code:92804-3729
Practice Address - Country:US
Practice Address - Phone:714-723-0787
Practice Address - Fax:714-723-0794
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-30
Last Update Date:2012-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA78239207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine