Stacey Rosenbaum, M.D., Inc.

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

A79423 Issued in CA

Legal business name

STACEY ROSENBAUM, M.D., INC.

Practice address

421 N. Rodeo Dr.
Penthouse 1
Beverly Hills, CA 90210-4536

Phone

(310) 432-6646

Fax

(310) 432-6647

NPI assigned

Nov 3, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Stacey Paula Rosenbaum, M.D.

Title

President

Phone

(310) 432-6646

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1257206400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1257206400000",
    "number": "1225365802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "421 N. RODEO DR.",
            "address_2": "PENTHOUSE 1",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902104536",
            "telephone_number": "310-432-6646",
            "fax_number": "310-432-6647"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "421 N. RODEO DR.",
            "address_2": "PENTHOUSE 1",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902104536",
            "telephone_number": "310-432-6646",
            "fax_number": "310-432-6647"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STACEY ROSENBAUM, M.D., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-03",
        "last_updated": "2009-11-03",
        "status": "A",
        "authorized_official_last_name": "ROSENBAUM",
        "authorized_official_first_name": "STACEY",
        "authorized_official_middle_name": "PAULA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "310-432-6646",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "CA",
            "license": "A79423",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Obstetrics & Gynecology Physician in Beverly Hills, CA
• Providers in Beverly Hills, CA by specialty
• Obstetrics & Gynecology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 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.