Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Bobby G. Rose, NURSEPRACTITIONER

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1942691266

Bobby G. Rose, NURSEPRACTITIONER is a Psychiatric/Mental Health Nurse Practitioner in Long Beach, California. Practices as a sole proprietor and works from 2 locations. Licensed in California.

Licensed in
CA
In the registry since
2015
Specialties on file
2

Practice location Address checks out

1955 Long Beach Blvd Ste 200
Long Beach, CA 90806-5501
Phone: (562) 437-6717
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 830 Atlantic Ave, Long Beach, CA 90813-4513 — (562) 285-0149

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 95004731 (CA)
Registered Nurse Taxonomy 163W00000X · Licence 345573 (CA)

Record details

NPI number1942691266
Entity typeIndividual (Type 1)
GenderMale
Credentials NURSEPRACTITIONER
Sole proprietorYes
NPI enumeratedFebruary 9, 2015
Last updated in NPPESMarch 30, 2021
Certification dateMarch 30, 2021

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