Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207P00000X | Emergency Physician | G52899 | CA |
N | 207RH0002X | Hospice and Palliative Medicine | G052899 | CA |
NPI | 1295783744 |
---|---|
Provider Name | Monica Rosenthal |
First Address | San Ramon, CA 94583-6258 |
Second Address | San Ramon, CA 94583-4633 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/05/2006 |
Last Update Date | 14/04/2015 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
00G528990 | (05) | CA |
A52380 | (02) |