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Olga D. Rose

Pediatrics

Allopathic & Osteopathic Physicians

7910 Frost Street, Suite 350, San Diego, CA 92123-2776

PECOS Enrollment

This provider is enrolled in PECOS as OLGA ROSE.

Based on the most recent information from CMS, provider Olga D. Rose is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records yesterday at 2:29 PM.

Profile Details

Provider ID
1740560044
Provider Type
Individual
Full Name
Rose, Olga D.
Credential
M.D.

Gender
Female
Sole Proprietor
No
Enumeration Date
8/18/2011
Last Updated
3/2/2017

Contact Information

Practice Location

7910 Frost Street, Suite 350, San Diego, CA 92123-2776

(858) 496-4800

(858) 496-4850

Mailing Location

3880 Murphy Canyon Rd, Suite 200, San Diego, CA 92123-4411

(858) 636-4300

(858) 636-4319

Provider Taxonomies

Code	Description	License
Code 208000000X Primary	Description Pediatrics Allopathic & Osteopathic Physicians	License A143536 California

Olga D. Rose

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Morris, Kenneth

Osteopathic Center For Children

Rothman, Joshua Marc

Giboney, Jennifer Christine

Sarwar, Nadia

Judd, Sarah A

Tygart, Melissa Kathleen

Madany, George H

Khan, Zainab

Mcinnerney, Roman G.