JACK ROTHBERG MD A MEDICAL COPT (NPI# 1669740338) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669740338 |
| Entity Type | Organization |
| Organization Name | JACK ROTHBERG MD A MEDICAL COPT |
| Practice Address |
6200 Wilshire Blvd Suite 1612 Los Angeles CA 90048 |
| Practice Telephone | 3238578000 |
| Practice Fax Number | 3238578008 |
| Mailing Telephone | 3238578000 |
| Mailing Fax Number | 3238578008 |
| Enumeration Date | 2011-12-08 |
| Last Update Date | 2011-12-08 |
| Authorized Official Name | JACK ROTHBERG (OWNER) |
| Authorized Official Telephone | 3238578000 |
| Authorized Official Credential | PHD, MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084F0202X |
Psychiatry & Neurology Specialization: Forensic Psychiatry |
G29894 | CA | Allopathic & Osteopathic Physicians |
| Street Address |
6200 WILSHIRE BLVD SUITE 1612 |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90048 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689673733 | Daniel Hideo Tamura | Dentist | 6200 Wilshire Blvd, Suite 1209, Los Angeles, CA 90048-5801 | 2005-07-20 |
| 1558986034 | Ruby Magbuhat Comia | Dental Assistant | 6200 Wilshire Blvd, Los Angeles, CA 90048-5801 | 2020-06-10 |
| 1427589555 | Dermking Institute | Physician Assistant | 6200 Wilshire Blvd, Suite 805, Los Angeles, CA 90048-5801 | 2017-03-21 |
| 1407397714 | Nevarez Chiropractic Corp | Chiropractor | 6200 Wilshire Blvd, Suite 910, Los Angeles, CA 90048-5810 | 2017-03-20 |
| 1689054546 | Jill Allen | Physical Therapist | 6200 Wilshire Blvd, Suite 805, Los Angeles, CA 90048-5801 | 2015-06-05 |
| 1487047940 | Lauren Anne Layson | Physician Assistant | 6200 Wilshire Blvd, 910, Los Angeles, CA 90013 | 2015-03-09 |
| 1770974479 | Max Management, LLC | Durable Medical Equipment & Medical Supplies | 6200 Wilshire Blvd, Suite 805, Los Angeles, CA 90048-5801 | 2015-02-17 |
| 1588054720 | Max Health Medical Group | Specialist | 6200 Wilshire Blvd, Suite 805, Los Angeles, CA 90048-5801 | 2015-01-26 |
| 1043624489 | Daniel Capen, M.d., A Professional Corporation | Non-Pharmacy Dispensing Site | 6200 Wilshire Blvd, Suite 910, Los Angeles, CA 90048-5801 | 2014-06-13 |
| 1083026843 | Meredith E Harewood | Psychiatry & Neurology | 6200 Wilshire Blvd, Ste 1010, Los Angeles, CA 90048 | 2014-05-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609473420 | Alden Advanced Surgicenter LLC | Clinic/Center | 8741 Alden Drive, Suite B, Los Angeles, CA 90048 | 2020-10-05 |
| 1760090062 | New Dawn Tms Psychiatry | Clinic/Center | 640 S San Vincente Blvd, Ste. 210, Los Angeles, CA 90048 | 2020-07-22 |
| 1114547312 | Savannah Marie Gonzales | Student in an Organized Health Care Education/Training Program | 8700 Beverly Blvd Suite 3636, Los Angeles, CA 90048 | 2020-04-17 |
| 1861048613 | Sam Dawkins | Internal Medicine | Suite 415e, 8631 West Third Street, Los Angeles, CA 90048 | 2019-08-16 |
| 1295202638 | Caleb Rogers Penn | Anesthesiology | Cedars-sinai Department of Anesthesiology, 8700 Beverly Blvd, Los Angeles, CA 90048 | 2018-10-24 |
| 1437641727 | Medical Imaging Center of Southern California-beverly Hills, Inc | Radiology | 8727 Beverly Blvd, Los Angeles, CA 90048 | 2018-06-01 |
| 1689164121 | Maulin Shah | Student in an Organized Health Care Education/Training Program | 8700 Beverly Blvd Suite 5512, Los Angeles, CA 90048 | 2018-05-10 |
| 1013423631 | Abdul Ali Qaderi | Anesthesiology | 8700 Beverly Blvd Suite 4209, Los Angeles, CA 90048 | 2017-12-19 |
| 1619483559 | Sakeenah Hakim | Social Worker | 292 S. La Cienega Blvd, Suite 102, Los Angeles, CA 90048 | 2017-12-14 |
| 1851805048 | West Hollywood Medical Group Inc | General Practice | 8733 Beverly Blvd Suite #203, West Hollywood, CA 90048 | 2017-11-27 |
| Find all providers in zip 90048 | ||||
| Taxonomy Code | 2084F0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Forensic Psychiatry |
| Forensic Psychiatry is a subspecialty with psychiatric focus on interrelationships with civil, criminal and administrative law, evaluation and specialized treatment of individuals involved with the legal system, incarcerated in jails, prisons, and forensic psychiatry hospitals. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013237064 | Artha Gillis | Psychiatry & Neurology | 760 Westwood Plz Rm C8-193, Los Angeles, CA 90024-5055 | 2010-06-01 |
| 1942538343 | Alex Sahba Md, A Medical Corp | Psychiatry & Neurology | 2355 Westwood Blvd # 129, Los Angeles, CA 90064-2109 | 2009-11-23 |
| 1194987339 | Mark Steven Lipian | Psychiatry & Neurology | 2029 Century Park East, Suite 2890, Los Angeles, CA 90067-2901 | 2008-06-30 |
| 1407911662 | Samuel I Miles | Psychiatry & Neurology | 8631 W 3rd St Ste 425e, Los Angeles, CA 90048-5908 | 2006-12-27 |
| 1982774147 | Michael Malkin | Psychiatry & Neurology | 120 N Vista St, Los Angeles, CA 90036-2710 | 2006-11-08 |
| 1568488963 | Paul Bradley Bohn | Psychiatry & Neurology | 12300 Wilshire Blvd Ste 330, Los Angeles, CA 90025-1057 | 2006-07-15 |
| 1063418788 | John Ira Hochman | Psychiatry & Neurology | 6333 Wilshire Blvd, Ste 402, Los Angeles, CA 90048-5702 | 2005-06-27 |
| 1124472212 | Michael Kanell | Psychiatry & Neurology | 760 Westwood Plz Ste 37-384, Los Angeles, CA 90024-5055 | 2016-04-15 |
| 1124446224 | Thomas Rodriguez | Psychiatry & Neurology | 1200 N State St, Los Angeles, CA 90033-1029 | 2014-04-04 |
| 1447580998 | Alisha Smith | Psychiatry & Neurology | 450 Bauchet St, Los Angeles, CA 90012-2907 | 2010-01-06 |
| Find all providers in LOS ANGELES | ||||
| City | LOS ANGELES |
| Zip Code | 90048 |
Please comment or provide details below to improve the information on JACK ROTHBERG MD A MEDICAL COPT.
| 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.