Healthcare Provider Details

I. General information

NPI: 1629049853
Provider Name (Legal Business Name): NEAL L. ROJAS M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/27/2006
Last Update Date: 11/25/2024
Certification Date: 11/25/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1625 VAN NESS AVE
SAN FRANCISCO CA
94109-3370
US

IV. Provider business mailing address

PO BOX 276950
SACRAMENTO CA
95827-6950
US

V. Phone/Fax

Practice location:
  • Phone: 415-600-6200
  • Fax: 415-749-1433
Mailing address:
  • Phone: 415-600-6200
  • Fax: 415-749-1433

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2080P0006X
TaxonomyDevelopmental - Behavioral Pediatrics Physician
License NumberA79226
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: