Individual
DR. ALEXANDRA ROTHENBERG JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1690 GLEN CANYON RD, SANTA CRUZ, CA 95060-1219
(510) 455-8008
(510) 244-0569
Mailing address
1690 GLEN CANYON RD, SANTA CRUZ, CA 95060-1219
(510) 455-8008
(510) 244-0569
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
A148633
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
316228YL0X
MEDICARE NUMBER
CO
Enumeration date
04/15/2010
Last updated
12/27/2023
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