Rosen Anesthesia Group, a Professional Medical Corporation

Primary specialty

Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X

Legal business name

ROSEN ANESTHESIA GROUP, A PROFESSIONAL MEDICAL CORPORATION

Practice address

11340 W Olympic Blvd
Suite 160
Los Angeles, CA 90064-1608

Phone

(951) 699-0303

NPI assigned

Nov 10, 2009

Organization subpart

No

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

Authorized official

Name

Randy Rosen, M.D.

Title

President

Phone

(951) 699-0303

Specialties & licenses 2

Addresses

Other names 1

• SOUTHERN CALIFORNIA INTERVENTIONAL PAIN MANAGEMENT GROUP Doing business as

Locations

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

{
    "created_epoch": "1257811200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1257811200000",
    "number": "1154658284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 893520",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "925893520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11340 W OLYMPIC BLVD",
            "address_2": "SUITE 160",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900641608",
            "telephone_number": "951-699-0303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROSEN ANESTHESIA GROUP, A PROFESSIONAL MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-10",
        "last_updated": "2009-11-10",
        "status": "A",
        "authorized_official_last_name": "ROSEN",
        "authorized_official_first_name": "RANDY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "951-699-0303",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Anesthesiology, Pain Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SOUTHERN CALIFORNIA INTERVENTIONAL PAIN MANAGEMENT GROUP",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Benjamin David Rosellini, MD
• Elenita Manaran Rosello, R.N.
• Paula Roseman
• Rosemarie Quimson-Cruz, DMD, Inc.
• Stephanie Rosemberg, M.S.
• Aracely Rosen, LCSW
• Bradley Todd Rosen, M.D.
• Daniel Mark Rosen, O.D.
• Dieu Nguyen Rosen
• Douglas Rosen

• Interventional Pain Medicine Physician in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Interventional Pain Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2009; 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.