MEDICARE: DR. BERNADETTE ROSENSTIEL D.C.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111N00000X	Chiropractor	DC14745	CA

General Provider Information

NPI Number	:	1457475790
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. BERNADETTE ROSENSTIEL D.C.

Provider Business Mailing Address
First Line	:	22030 CLARENDON ST STE 101
Second Line	:
City	:	WOODLAND HILLS
State	:	CA
Zip	:	91367-6369
Country	:	US
Telephone Number	:	818-887-4000
Fax Number	:	818-887-7092

Provider Business Practice Location Address
First Line	:	22030 CLARENDON ST STE 101
Second Line	:
City	:	WOODLAND HILLS
State	:	CA
Zip	:	91367-6369
Country	:	US
Telephone Number	:	818-887-4000
Fax Number	:	818-887-7092

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/19/2007
Last Update Date	:	07/08/2007

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