| Eugene Rosenman Md Professional Corporation | |
|
2401 E Katella Ave Ste 625 Anaheim CA 92806-5995 | |
| (800) 577-4701 | |
| Not Available |
| Full Name | Eugene Rosenman Md Professional Corporation |
|---|---|
| Speciality | Clinic/Center |
| Location | 2401 E Katella Ave Ste 625, Anaheim, California |
| Authorized Official Name and Position | Eugene Rosenman (OWNER) |
| Authorized Official Contact | 7028578800 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Eugene Rosenman Md Professional Corporation 151 Kalmus Dr Ste K2 Costa Mesa CA 92626-5975 Ph: () - | Eugene Rosenman Md Professional Corporation 2401 E Katella Ave Ste 625 Anaheim CA 92806-5995 Ph: (800) 577-4701 |
| NPI Number | 1992588313 |
|---|---|
| Provider Enumeration Date | 08/17/2023 |
| Last Update Date | 02/27/2024 |
| Certification Date | 02/27/2024 |
| Medicare PECOS PAC ID | 5890144471 |
|---|---|
| Medicare Enrollment ID | O20231207002115 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992588313 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
| Provider Name | Patricia Holden |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1174624688 PECOS PAC ID: 6002826187 Enrollment ID: I20060503000791 |
| Provider Name | Gerrald C Angeles |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235641986 PECOS PAC ID: 7810250198 Enrollment ID: I20180419001580 |
| Provider Name | Meshylle S Martin-ferido |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518466432 PECOS PAC ID: 9638509003 Enrollment ID: I20200427000944 |
| Provider Name | Erin Lindsey Jenkins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528695558 PECOS PAC ID: 3173918885 Enrollment ID: I20220316001050 |
| Provider Name | Christopher Chigbolu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841372463 PECOS PAC ID: 8628463791 Enrollment ID: I20220328002315 |
| Provider Name | Joan C Njoku |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265140222 PECOS PAC ID: 3173981610 Enrollment ID: I20230615001805 |
| Provider Name | Eugene Rosenman |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1659433787 PECOS PAC ID: 7517866866 Enrollment ID: I20231207002190 |
| Provider Name | Michael William Casey |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1295760957 PECOS PAC ID: 5092164186 Enrollment ID: I20231214002642 |
| Provider Name | Kim N Phan |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1245327071 PECOS PAC ID: 1557706439 Enrollment ID: I20240301000834 |
| Provider Name | Sharan Gill |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154161529 PECOS PAC ID: 6608312525 Enrollment ID: I20240726001642 |
| Provider Name | Giovanni Villegas |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1629607908 PECOS PAC ID: 4688112535 Enrollment ID: I20240809003845 |
| Provider Name | Ann M Escue |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1508909557 PECOS PAC ID: 8628590361 Enrollment ID: I20250321002456 |
| Provider Name | Donald L Koonce |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1689652505 PECOS PAC ID: 5890786370 Enrollment ID: I20250414000585 |
| Provider Name | Tamiko Gibson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366985277 PECOS PAC ID: 2264889526 Enrollment ID: I20250423000151 |
| Provider Name | Sandra Marie Lopez |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1073746707 PECOS PAC ID: 9739608332 Enrollment ID: I20250528000423 |
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