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NPI Code Detail

MEDICARE: N. PAUL ROSENTHAL M.D. INC.

MEDICARE: N. PAUL ROSENTHAL M.D. INC.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12084N0400XNeurology PhysicianC33441CA

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
11316969843OTHERCAMEDICARE IND NPI

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2C33441OTHERCASTATE LICENSE

General Provider Information

NPI Number : 1093909384
Entity Type Code : Organization
Provider Name (Legal Business Name) : N. PAUL ROSENTHAL M.D. INC.
Provider Business Mailing Address
First Line : 17525 VENTURA BLVD.
Second Line : SUITE # 203
City : ENCINO
State : CA
Zip : 91316-5109
Country : US
Telephone Number : 818-995-1175
Fax Number : 818-638-5762
Provider Business Practice Location Address
First Line : 17525 VENTURA BLVD.
Second Line : SUITE # 203
City : ENCINO
State : CA
Zip : 91316-5109
Country : US
Telephone Number : 818-995-1175
Fax Number : 818-638-5762
Authorized Official
Title or Position : PRESIDENT
Name : DR. NEIL PAUL ROSENTHAL
Credential : M.D., PH.D.
Telephone Number : 818-995-1174
Provider Enumeration Date : 08/30/2007
Last Update Date : 04/19/2012

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