Individual
AKLIL M. ROSTAI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A.
Contact information
Practice address
5555 W LAS POSITAS BLVD, PLEASANTON, CA 94588-4000
(925) 416-6585
(925) 416-3565
Mailing address
PO BOX 22210, OAKLAND, CA 94623-2210
(510) 535-4000
(510) 535-4189
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA20961
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PA20961
PA LICENSE
CA
Enumeration date
11/02/2010
Last updated
11/13/2019
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