Doctor Name: | DR. WALTER ROTHSCHILD |
NPI Number: | 1023049442 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | A18737 |
Business Practice Address: | 15720 Ventura Blvd Encino, CA - 914362914 |
Business Phone Number: | 8189071145 |
Business Fax Number: | 8185010377 |
Mailing Address: | 15720 Ventura Blvd, ENCINO |
State: | CA |
Postal Code: | 914362914 |
Phone Number: | 8189071145 |
Fax Number: | 8185010377 |
NPI Enumeration Date: | 07/05/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | A18737 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |