Provider Demographics
NPI:1235241233
Name:ROSEN, KAREN JUNG (DDS)
Entity type:Individual
Prefix:DR
First Name:KAREN
Middle Name:JUNG
Last Name:ROSEN
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:23451 MADISON ST STE 110
Mailing Address - Street 2:
Mailing Address - City:TORRANCE
Mailing Address - State:CA
Mailing Address - Zip Code:90505-4736
Mailing Address - Country:US
Mailing Address - Phone:310-953-3300
Mailing Address - Fax:310-953-3613
Practice Address - Street 1:23451 MADISON ST STE 110
Practice Address - Street 2:
Practice Address - City:TORRANCE
Practice Address - State:CA
Practice Address - Zip Code:90505-4736
Practice Address - Country:US
Practice Address - Phone:310-953-3300
Practice Address - Fax:310-953-3613
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-31
Last Update Date:2024-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA54741122300000X, 1223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist
No1223G0001XDental ProvidersDentistGeneral Practice