| Kenneth L. Rothman, M.d., Inc. | |
|
20130 Lake Chabot Rd Suite 202 Castro Valley CA 94546-5340 | |
| (510) 582-6424 | |
| (510) 582-6462 |
| Full Name | Kenneth L. Rothman, M.d., Inc. |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 20130 Lake Chabot Rd, Castro Valley, California |
| Authorized Official Name and Position | Kenneth L Rothman (PRESIDENT) |
| Authorized Official Contact | 5105826424 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kenneth L. Rothman, M.d., Inc. 20130 Lake Chabot Rd Suite 202 Castro Valley CA 94546-5340 Ph: (510) 582-6424 | Kenneth L. Rothman, M.d., Inc. 20130 Lake Chabot Rd Suite 202 Castro Valley CA 94546-5340 Ph: (510) 582-6424 |
| NPI Number | 1346529617 |
|---|---|
| Provider Enumeration Date | 08/04/2011 |
| Last Update Date | 08/04/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346529617 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | G27686 (California) | Primary |
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