Geovanny Rosas
Optometrist in Los Angeles, CA. Individual provider (NPI-1).
NPI number1831995505
StatusActive
Last updated in NPPESOct 30, 2026
Details
- NPI
- 1831995505
- Entity type
- Individual (NPI-1)
- Name
- Geovanny Rosas
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Feb 21, 2025
- Certification date
- Oct 30, 2026
- Last updated
- Oct 30, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 152W00000X | Optometrist | 36294 | CA | Yes |
Other names
- Geovanny Rosas (Other Name)
Practice location
12461 W Washington BlvdLos Angeles, CA 90066-5511
Phone 310-390-6287 · Fax 310-391-8464
Mailing address
12461 W Washington BlvdLos Angeles, CA 90066-5511
Phone 714-473-7113
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