Individual
DR. PETER MORRIS ROTHENBERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.,M.A.
Contact information
Practice address
657 CAMINO DE LOS MARES, SUITE 137, SAN CLEMENTE, CA 92673-2826
(949) 489-9039
(949) 489-8136
Mailing address
657 CAMINO DE LOS MARES, SUITE 137, SAN CLEMENTE, CA 92673-2826
(949) 489-9039
(949) 489-8136
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
G47158
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G471581
—
CA
01
—
G47158
CA STATE LICENSE
CA
Enumeration date
10/11/2006
Last updated
01/25/2011
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