Rosa, Robert C

Rosa, Robert C is an individual health care provider with primary practice located at 11495 Carmel Mountain Rd 102, San Diego CA 92128-4618. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Rosa, Robert C can be contacted via phone (858) 675-0485.

Contact Information

Primary practice address
11495 Carmel Mountain Rd 102 San Diego CA 92128-4618
Phone: (858) 675-0485
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 7774T California

Profile Details

NPI number 1700876539
LBN Legal business name Rosa, Robert C
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 24th, 2005
Last updated Jul 8th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1700876539 NPPES
California MEDICAID SD0077740

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