DR. JOHN ROSENTAL


Address: 1040 Elm Ave Ste 303, Long Beach, CA 90813-3267
Phone: 5624369645

DR. JOHN ROSENTAL (NPI# 1568547099) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1568547099
Entity Type Individual
Full Name DR. JOHN ROSENTAL
Credential M.D.
Practice Address 1040 Elm Ave Ste 303
Long Beach
CA 90813-3267
Practice Telephone 5624369645
Mailing Telephone 5624369645
Enumeration Date 2006-10-25
Last Update Date 2013-02-27
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 246XC2903X Spec/Tech, Cardiovascular
Specialization: Vascular Specialist
C-25484 CA Technologists, Technicians & Other Technical Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
CA 00C254840 05

Office Location

Street Address 1040 ELM AVE STE 303
City LONG BEACH
State CA
Zip Code 90813-3267

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NPI Name Taxonomy Address Enumeration
1861018491 Marisol Zobler Social Worker 820 Long Beach Bvld, Long Beach, CA 90813 2020-06-19
1437787009 Cho Rok Kim Student in an Organized Health Care Education/Training Program Graduate Medical Education, 1050 Linden Ave., Long Beach, CA 90813 2020-03-30
1316407596 Vicky Sandhu Student in an Organized Health Care Education/Training Program Graduate Medical Education, 1050 Linden Ave, Long Beach, CA 90813 2019-03-22
1245734912 Madiha Naseem Internal Medicine Graduate Medical Education, 1050 Linden Avenue, Long Beach, CA 90813 2018-03-19
1689194508 Naomi Ruiz Specialist/Technologist 838 Pine Ave Apt. 314, Long Beach, CA 90813 2017-06-21
1851831531 Tyler Lappen Student in an Organized Health Care Education/Training Program 830 Atlantic Ave., Long Beach, CA 90813 2017-03-01
1639628886 Assavuth Kim Community Health Worker 1471 Cherry Avenue, Long Beach, CA 90813 2016-09-29
1881031300 Stacy Nicole Delgado-willis Marriage & Family Therapist 851 Pine Ave Ste 103, Long Beach, CA 90813 2013-05-23
1740623453 Paula Ann Di Thomas Nurse Practitioner 1043 Elm Ave #104, Long Beach, CA 90813 2013-04-11
1629322722 David O Chavez Case Manager/Care Coordinator 820 Long Beach Blvd, Long Beach, CA 90813 2012-10-29
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Taxonomy Information

Taxonomy Code 246XC2903X
Grouping Technologists, Technicians & Other Technical Service Providers
Classification Spec/Tech, Cardiovascular
Specialization Vascular Specialist

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1548811037 Tayler Suzanne Kopperud Spec/Tech, Cardiovascular 4959 Palo Verde St Ste 208c-4, Montclair, CA 91763-2360 2019-09-25
1821468505 Sally Botrus Spec/Tech, Cardiovascular 41054 Rawling Ct, Indio, CA 92203-4024 2015-10-07
1255738241 Southern California Picc Providers, Inc. Spec/Tech, Cardiovascular 5787 Little Shay Dr, Fontana, CA 92336 2014-11-19
1932512720 Davier Davon Mayes Spec/Tech, Cardiovascular 2334 10th St, Unit 1, Berkeley, CA 94710-2355 2014-06-09
1841568748 Hector Solis Spec/Tech, Cardiovascular 2302 E Ward Ter, Anaheim, CA 92806-3657 2011-12-06
1053693135 Cypress Point Healthcare Solutions, Inc Spec/Tech, Cardiovascular Cypress Diagnostic Imaging, 3230 Waring Ct Ste I, Oceanside, CA 92056-4509 2011-09-14
1437330107 William Charles Huerta Spec/Tech, Cardiovascular 23135 Market St, Santa Clarita, CA 91321-3611 2007-11-21
1184842429 Donald Andrew Barkley Spec/Tech, Cardiovascular 3534 Santa Carlotta St, Glendale, CA 91214-1115 2007-04-23
1285731307 Cardiovascular Perfusion Systems Spec/Tech, Cardiovascular 1330 Corte De Primavera, Thousand Oaks, CA 91360-7026 2006-09-20
1518063916 Paul Brooks Wagner Spec/Tech, Cardiovascular 1836 Harbor Cv, Modesto, CA 95355-1856 2006-09-15
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Competitor

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City LONG BEACH
Zip Code 90813

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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