Organization
JOHANNA ROSENTHAL M.D. INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHANNA LYNN ROSENTHAL M.D. (CEO)
(714) 213-0492
Entity
Organization
Contact information
Practice address
1440 N HARBOR BLVD STE 900, FULLERTON, CA 92835-4122
(714) 449-3311
(714) 870-0002
Mailing address
1440 N HARBOR BLVD STE 900, FULLERTON, CA 92835-4122
(714) 449-3311
(714) 870-0002
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
G40976
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00G409760
MEDI-CAL
CA
Enumeration date
01/23/2009
Last updated
02/23/2022
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