Individual
DR. JORDAN SCOTT ROSENTHAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.P.M.
Contact information
Practice address
9100 SO SEPULVEDA BLVD, SUITE 100, LOS ANGELES, CA 90045-4849
(310) 645-3338
(310) 645-0823
Mailing address
9100 SO SEPULVEDA BLVD, SUITE 100, LOS ANGELES, CA 90045-4849
(310) 645-3338
(310) 645-0823
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
E3436
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
213E00000X
MEDICARE TYPE-
CA
Enumeration date
05/03/2006
Last updated
05/18/2011
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