| NPI | 1619117835 |
|---|---|
| Doing Business As | FULLER-ROSEN ANESTHESIA GROUP |
| Entity Type | Organization |
| Authorized Contact | RANDY ROSEN Medical Director 310-440-3131 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology |
| Enumeration Date | 2009-02-27 |
| Last Update Date | 2009-05-06 |