MEDICARE: ROBERT ROTHSTEIN MD

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
1	207P00000X	Emergency Medicine Physician	G41102	CA

General Provider Information

NPI Number	:	1750317988
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ROBERT ROTHSTEIN MD

Provider Business Mailing Address
First Line	:	3215 MADELINE ST
Second Line	:
City	:	OAKLAND
State	:	CA
Zip	:	94602-3934
Country	:	US
Telephone Number	:	301-943-9161
Fax Number	:	530-231-2849

Provider Business Practice Location Address
First Line	:	3215 MADELINE ST
Second Line	:
City	:	OAKLAND
State	:	CA
Zip	:	94602-3934
Country	:	US
Telephone Number	:	301-943-9161
Fax Number	:	530-231-2849

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/22/2006
Last Update Date	:	06/11/2026

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