Lawrence M Rosen, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

AFE16377 Issued in CA

Practice address

305 Alta Ave
Santa Monica, CA 90402-2729

Phone

(310) 394-6530

Fax

(310) 393-5652

NPI assigned

Nov 21, 2012

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1353456000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1353456000000",
    "number": "1730423229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "305 ALTA AVE",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904022729",
            "telephone_number": "310-394-6530",
            "fax_number": "310-393-5652"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "305 ALTA AVE",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904022729",
            "telephone_number": "310-394-6530",
            "fax_number": "310-393-5652"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSEN",
        "first_name": "LAWRENCE",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-11-21",
        "last_updated": "2012-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "AFE16377",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Akhila Rose, D.O.
• Angelyn Nicole Rose, LMFT
• Anna Rose, P.A.-C
• Ava Francesca Rose, LCSW
• Fred M Rosen, AB MFT
• Lee S Rosen, M.D.
• Kashia Rosenau, PHD
• Joyce Rosenbaum, PT
• Steven Lee Rosenberg, DPM
• Kevin Rosenbloom, C.PED

• Family Medicine Physician in Santa Monica, CA
• Providers in Santa Monica, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2012; 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.