Individual
GABRIELLA REGINA ROSENTHAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1809 NATIONAL AVE, SAN DIEGO, CA 92113-2113
(619) 515-2300
Mailing address
823 GATEWAY CENTER WAY, SAN DIEGO, CA 92102-4541
(619) 515-2300
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
95300941
CA
363L00000X
Nurse Practitioner
Primary
95023003
CA
363LP2300X
Primary Care Nurse Practitioner
95023003
CA
363LW0102X
Women's Health Nurse Practitioner
95023003
CA
Other
Enumeration date
11/14/2022
Last updated
09/30/2024
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