Provider Demographics
NPI:1053593657
Name:DAUPHIN BAPTISTE, ROSELINE MARIE (MD)
Entity type:Individual
Prefix:DR
First Name:ROSELINE
Middle Name:MARIE
Last Name:DAUPHIN BAPTISTE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:ROSELINE
Other - Middle Name:MARIE
Other - Last Name:DAUPHIN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:254 N LAKE AVE STE 235
Mailing Address - Street 2:
Mailing Address - City:PASADENA
Mailing Address - State:CA
Mailing Address - Zip Code:91101-1829
Mailing Address - Country:US
Mailing Address - Phone:877-282-3364
Mailing Address - Fax:877-297-4486
Practice Address - Street 1:4955 VAN NUYS BLVD STE 306
Practice Address - Street 2:
Practice Address - City:SHERMAN OAKS
Practice Address - State:CA
Practice Address - Zip Code:91403-1800
Practice Address - Country:US
Practice Address - Phone:818-901-1010
Practice Address - Fax:877-297-4486
Is Sole Proprietor?:No
Enumeration Date:2007-12-05
Last Update Date:2024-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG55469174400000X, 207VB0002X, 207VC0300X, 207VE0102X, 207VG0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VG0400XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecology
No174400000XOther Service ProvidersSpecialist
No207VB0002XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyObesity Medicine
No207VC0300XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyComplex Family Planning
No207VE0102XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyReproductive Endocrinology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00G554690Medicaid
CA00G554690Medicaid
CAD33349Medicare UPIN
CA00G554690Medicaid