Healthcare Provider Details

I. General information

NPI: 1750317988
Provider Name (Legal Business Name): ROBERT ROTHSTEIN MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/22/2006
Last Update Date: 06/11/2026
Certification Date: 06/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3215 MADELINE ST
OAKLAND CA
94602-3934
US

IV. Provider business mailing address

3215 MADELINE ST
OAKLAND CA
94602-3934
US

V. Phone/Fax

Practice location:
  • Phone: 301-943-9161
  • Fax: 530-231-2849
Mailing address:
  • Phone: 301-943-9161
  • Fax: 530-231-2849

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License NumberG41102
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: