Individual
DR. JILLIAN LEIGH ROSENBLUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
350 HAWTHORNE AVE, OAKLAND, CA 94609-3108
(510) 655-4000
Mailing address
2000 CROW CANYON PL STE 260, SAN RAMON, CA 94583-1367
(602) 380-3530
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
A156825
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
036.145822
MEDICAL LICENSE
IL
01
—
A156825
MEDICAL LICENSE
CA
Enumeration date
06/03/2015
Last updated
06/20/2019
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