Provider Demographics
NPI:1427426576
Name:ROSENSTOCK, CHRIS
Entity type:Individual
Prefix:
First Name:CHRIS
Middle Name:
Last Name:ROSENSTOCK
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:120 W GRAND AVE STE 205
Mailing Address - Street 2:
Mailing Address - City:ESCONDIDO
Mailing Address - State:CA
Mailing Address - Zip Code:92025-2643
Mailing Address - Country:US
Mailing Address - Phone:760-271-9635
Mailing Address - Fax:
Practice Address - Street 1:120 W GRAND AVE STE 205
Practice Address - Street 2:
Practice Address - City:ESCONDIDO
Practice Address - State:CA
Practice Address - Zip Code:92025-2643
Practice Address - Country:US
Practice Address - Phone:760-271-9635
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-09-07
Last Update Date:2015-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes385H00000XRespite Care FacilityRespite Care