Healthcare Provider Details

I. General information

NPI: 1144185851
Provider Name (Legal Business Name): JASON ROSNER RABBI - MOHEL
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/16/2025
Last Update Date: 12/16/2025
Certification Date: 12/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5800 MARMION WAY APT 311
LOS ANGELES CA
90042-4287
US

IV. Provider business mailing address

5800 MARMION WAY APT 311
LOS ANGELES CA
90042-4287
US

V. Phone/Fax

Practice location:
  • Phone: 714-352-1815
  • Fax:
Mailing address:
  • Phone: 714-352-1814
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code374K00000X
TaxonomyReligious Nonmedical Practitioner
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: