Individual
DANIEL L ROTHSTEIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
401 E HIGHLAND AVE STE 251, SAN BERNARDINO, CA 92404-3800
(909) 882-4605
(909) 475-2680
Mailing address
3400 DATA DR, ATTN CREDENTIALING/PAYER ENROLLMENT, RANCHO CORDOVA, CA 95670-7956
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
06/23/2019
Last updated
08/21/2023
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