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NPI Code Detail

MEDICARE: DR. NEIL PAUL ROSENTHAL M.D.

MEDICARE: DR. NEIL PAUL ROSENTHAL M.D.
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
1C33441OTHERCAMEDICARE LICENSE
21093909384OTHERCAMEDICARE ORG NPI

General Provider Information

NPI Number : 1316969843
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. NEIL PAUL ROSENTHAL M.D.
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 :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/24/2006
Last Update Date : 04/19/2012

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Directions to “ DR. NEIL PAUL ROSENTHAL M.D.” Practice Location

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