Organization
KENNETH L. ROTHMAN, M.D., INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KENNETH L ROTHMAN M.D. (PRESIDENT)
(510) 582-6424
Entity
Organization
Contact information
Practice address
20130 LAKE CHABOT RD, SUITE 202, CASTRO VALLEY, CA 94546-5340
(510) 582-6424
(510) 582-6462
Mailing address
20130 LAKE CHABOT RD, SUITE 202, CASTRO VALLEY, CA 94546-5340
(510) 582-6424
(510) 582-6462
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
G27686
CA
Other
Enumeration date
08/04/2011
Last updated
08/04/2011
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