Individual
JACK ROTHBERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6200 WILSHIRE BLVD, SUITE 1612, LOS ANGELES, CA 90048-5801
(323) 857-8000
(323) 857-8008
Mailing address
6200 WILSHIRE BLVD, SUITE 1612, LOS ANGELES, CA 90048-5801
(323) 857-8000
(323) 857-8008
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
G29894
CA
Other
Enumeration date
08/22/2006
Last updated
11/25/2014
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