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Individual

DR. SARA G ROSENTHAL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
2466 1ST AVE, STE B, SAN DIEGO, CA 92101-1408
(619) 230-0400
(619) 325-3688
Mailing address
PO BOX 33865, SAN DIEGO, CA 92163-3865
(619) 220-4100
(619) 270-3423

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
G28150
CA
2085R0001X
Radiation Oncology Physician
Primary
G28150
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00G281500
CA
01
G28150
STATE LICENSE
CA
Enumeration date
07/08/2005
Last updated
03/07/2023
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