Basic Information
Provider Information
NPI: 1861464612
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: DINSAY
FirstName: ROSELYN
MiddleName: M
NamePrefix: DR.
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 435 ARDEN AVE
Address2: SUITE 340
City: GLENDALE
State: CA
PostalCode: 912031130
CountryCode: US
TelephoneNumber: 8182467245
FaxNumber: 8182467265
Practice Location
Address1: 435 ARDEN AVE
Address2: SUITE 340
City: GLENDALE
State: CA
PostalCode: 912031130
CountryCode: US
TelephoneNumber: 8182467245
FaxNumber: 8182467265
Other Information
ProviderEnumerationDate: 02/06/2006
LastUpdateDate: 06/11/2012
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207VE0102XG85448CAY Allopathic & Osteopathic PhysiciansObstetrics & GynecologyReproductive Endocrinology

ID Information
IDTypeStateIssuerDescription
G8544801CAMEDICAL BOARD LICENSEOTHER


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