| Richard A. Rosenberg Dpm Inc. | |
|
3300 E South St, St 306, Lakewood, CA 90805-4549 | |
| (562) 633-5881 | |
| (562) 633-3646 |
| Full Name | Richard A. Rosenberg Dpm Inc. |
|---|---|
| Type | Facility |
| Speciality | Podiatrist |
| Location | 3300 E South St, Lakewood, California |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518144989 | NPI | - | NPPES |
| 000E24660 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 213E00000X | Podiatrist | (* (Not Available)) | Primary |
| 332BC3200X | Durable Medical Equipment & Medical Supplies - Customized Equipment | E2466 (California) | Secondary |
| Provider Name | Richard Arthur Rosenberg |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1053327239 PECOS PAC ID: 1052435039 Enrollment ID: I20100827000106 |
| Provider Name | Joseph Adel William Yacoub |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1912498940 PECOS PAC ID: 9931503901 Enrollment ID: I20210812002765 |
| Mailing Address | Practice Location Address |
|---|---|
| Richard A. Rosenberg Dpm Inc. 3300 E South St, St 306, Lakewood, CA 90805-4549 Ph: (562) 633-5881 | Richard A. Rosenberg Dpm Inc. 3300 E South St, St 306, Lakewood, CA 90805-4549 Ph: (562) 633-5881 |
Jooyoung Han, DPM Podiatrist Medicare: Medicare Enrolled Practice Location: 5445 Del Amo Blvd Ste 102, Lakewood, CA 90712 Phone: 562-867-0811 Fax: 562-866-4046 | |
Kristina Eunjeong Chang, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 3700 E South Street, Lakewood, CA 90805 Phone: 562-531-2550 | |
Dr. Richard Arthur Rosenberg, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 3300 E South St, Suite #306, Lakewood, CA 90805 Phone: 562-633-5881 Fax: 562-633-3646 | |
Dr. Opal Patel, DPM Podiatrist Medicare: Medicare Enrolled Practice Location: 5220 Clark Ave Ste 125, Lakewood, CA 90712 Phone: 562-804-1381 | |
Dr. John Chan, DPM Podiatrist Medicare: Medicare Enrolled Practice Location: 5220 Clark Ave Ste 125, Lakewood, CA 90712 Phone: 562-804-1381 Fax: 562-925-8898 | |
Dr. Sravani Sai Alla, DPM Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 3700 South St, Lakewood, CA 90712 Phone: 562-531-2550 | |
Dr. David Charles Graham, D.P.M. Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 5220 Clark Ave Ste 125, Lakewood, CA 90712 Phone: 562-602-6723 |