Healthcare Provider Details

I. General information

NPI: 1952519068
Provider Name (Legal Business Name): BARBARA ROSENTHAL ADLER M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/21/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9320 TELSTAR AVE 246
EL MONTE CA
91731-2834
US

IV. Provider business mailing address

9320 TELSTAR AVE STE 246
EL MONTE CA
91731-2834
US

V. Phone/Fax

Practice location:
  • Phone: 626-569-6465
  • Fax: 626-569-9346
Mailing address:
  • Phone: 626-569-6465
  • Fax: 626-569-9346

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberC35330
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: