Rose J Eapen, MD, PC

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

Legal business name

ROSE J EAPEN, MD, PC

Doing business as

South Bay Pediatric Otolaryngology

Practice address

3655 Lomita Blvd Ste 300
Torrance, CA 90505-3969

Phone

(424) 218-6073

Fax

(424) 226-3064

NPI assigned

Jan 28, 2021

Last updated

Jan 28, 2021By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Rose J Eapen, MDNPI 1861612772

Title

President

Phone

(424) 218-6073

Specialties & licenses 1

Addresses

Other names 1

• South Bay Pediatric Otolaryngology Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Rose J Eapen, M.D.

  • Pediatric Otolaryngology Physician
  • Manhattan Beach, CA
  • NPI 1861612772
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1611792000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1611792000000",
    "number": "1144811597",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2711 N SEPULVEDA BLVD # 520",
            "city": "MANHATTAN BEACH",
            "state": "CA",
            "postal_code": "902662725",
            "telephone_number": "424-218-6073",
            "fax_number": "424-226-3064"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3655 LOMITA BLVD STE 300",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905053969",
            "telephone_number": "424-218-6073",
            "fax_number": "424-226-3064"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROSE J EAPEN, MD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-28",
        "last_updated": "2021-01-28",
        "certification_date": "2021-01-28",
        "status": "A",
        "authorized_official_last_name": "EAPEN",
        "authorized_official_first_name": "ROSE",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "424-218-6073",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "South Bay Pediatric Otolaryngology",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jorge Joel Rosales
• Josephine Calina Rosales, OTR/L, SWC
• Myrna Rosales, NP
• Guadalupe Rosas
• Karina Rosas, RDMS OBGYN
• Anna Rose, MD
• Rosslyn Rose
• Tracy Nicole Rose, CMT
• Steven A Roseboro
• Jessica Rosecrance, RDN

• Medical Specialty Clinic/Center in Torrance, CA
• Providers in Torrance, CA by specialty
• Medical Specialty Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.