Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | G42045 | CA |
Y | 2080P0205X | Pediatric Endocrinologist | G42045 | CA |
NPI | 1528081064 |
---|---|
Provider Name | Dr. Stephen Martin Rosenthal |
First Address | Salinas, CA 93905-2516 |
Second Address | Salinas, CA 93906-3100 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 25/07/2006 |
Last Update Date | 19/03/2012 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
FHC70126F | (05) | CA |