ROSE MEDICAL GROUP
NPI 1720189061
Technician/Technologist - Ophthalmic in Los Angeles, CA

Active since September 26, 2006
2400 N BROADWAY, LOS ANGELES, CA 90031(323) 221-6121(323) 221-6120 Get Directions Write a Review

NPPES record last updated: April 24, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Rose Medical Group NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ROSE MEDICAL GROUP (NPI 1720189061) is a healthcare organization registered as an ophthalmic in Los Angeles, California and active in the NPI registry since September 2006. The organization lists Michael R. Rose, President, as its authorized official.

NPPES Registry Identity

NPI1720189061
Entity TypeOrganization
Primary Taxonomy156FX1100X
Legal Business NameROSE MEDICAL GROUP
Location Address2400 N BROADWAYLos Angeles, CA 90031-2219
Mailing AddressPo Box 31250Los Angeles, CA 90031-0250 · (323) 221-6121 · Fax (323) 221-6120
Fax(323) 221-6120
Organization SubpartNo
Authorized OfficialMichael R. RosePresident · (323) 221-6121
Enumeration DateSeptember 26, 2006
Last NPPES UpdateApril 24, 2008
NPI 1720189061 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyTechnician/Technologist · OphthalmicEye and Vision Services Providers
Taxonomy Code156FX1100X
Definition
An ophthalmic technician/technologist assists ophthalmologists by performing ophthalmic clinical functions, including administering eye exams, administering eye medications, and instructing the patient in care and use of corrective lenses.
2400 N BROADWAY, Los Angeles, CA 90031

Other Identifiers 4

Medicare NSC0746930001CA
Medicare UPINE95396CA
MedicaidGR0014310CA
Medicare ID-Type UnspecifiedW3411CA

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Ophthalmology
2400 N BROADWAY
LOS ANGELES, CA 90031
Ophthalmology
2400 N BROADWAY
LOS ANGELES, CA 90031
Ophthalmology
2400 N BROADWAY
LOS ANGELES, CA 90031

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Rose Medical Group's NPI number?

The NPI number for Rose Medical Group is 1720189061. It was assigned to this organization in the NPPES registry on September 26, 2006.

Where is Rose Medical Group located?

Rose Medical Group is located at 2400 N Broadway, Los Angeles, CA 90031. The listed phone number is (323) 221-6121.

What is Rose Medical Group's specialty?

The primary specialty registered for this NPI is Technician/Technologist, specializing in Ophthalmic, with taxonomy code 156FX1100X.

When was this NPI record last updated?

The NPPES record for Rose Medical Group was last updated on April 24, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.