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Individual

ALAN ROSENTHAL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.C.

Contact information

Practice address
712 N MOORPARK RD, THOUSAND OAKS, CA 91360-3705
(805) 449-0061
(805) 449-0014
Mailing address
712 N MOORPARK RD, THOUSAND OAKS, CA 91360-3705
(805) 449-0061
(805) 449-0014

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC19966
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
264551834
TAX ID
CA
01
95-4613106
TAX ID #
CA
01
DC19966
LICENSE #
CA
Enumeration date
01/23/2007
Last updated
04/05/2012
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