Healthcare Provider Details

I. General information

NPI: 1114846250
Provider Name (Legal Business Name): DR. NOA ROZENDORN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/13/2026
Last Update Date: 07/13/2026
Certification Date: 07/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2521 STOCKTON BLVD STE 7200
SACRAMENTO CA
95817-2207
US

IV. Provider business mailing address

1160 JACOB LN
CARMICHAEL CA
95608-6270
US

V. Phone/Fax

Practice location:
  • Phone: 916-734-2801
  • Fax: 916-703-5011
Mailing address:
  • Phone: 279-204-3993
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207YX0901X
TaxonomyOtology & Neurotology Physician
License Number972
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: