Provider Demographics
NPI:1447305982
Name:SCOTT, ROSALYN P (MD)
Entity type:Individual
Prefix:
First Name:ROSALYN
Middle Name:P
Last Name:SCOTT
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:ROSALYN
Other - Middle Name:
Other - Last Name:STERLING-SCOTT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:4265 MARINA CITY DR UNIT 901
Mailing Address - Street 2:
Mailing Address - City:MARINA DEL REY
Mailing Address - State:CA
Mailing Address - Zip Code:90292-5809
Mailing Address - Country:US
Mailing Address - Phone:310-493-6979
Mailing Address - Fax:310-827-8821
Practice Address - Street 1:6109 CRENSHAW BLVD
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90043-3946
Practice Address - Country:US
Practice Address - Phone:310-493-6979
Practice Address - Fax:310-827-8821
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-24
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG51920208G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208G00000XAllopathic & Osteopathic PhysiciansThoracic Surgery (Cardiothoracic Vascular Surgery)