Provider Demographics
NPI:1164489977
Name:ROTHMAN, GERALD SOLOMON (MD)
Entity Type:Individual
Prefix:DR
First Name:GERALD
Middle Name:SOLOMON
Last Name:ROTHMAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:7301 MEDICAL CENTER DR
Mailing Address - Street 2:SUITE 201
Mailing Address - City:WEST HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:91307-1904
Mailing Address - Country:US
Mailing Address - Phone:818-346-9911
Mailing Address - Fax:818-346-2857
Practice Address - Street 1:7301 MEDICAL CENTER DR
Practice Address - Street 2:SUITE 201
Practice Address - City:WEST HILLS
Practice Address - State:CA
Practice Address - Zip Code:91307-1904
Practice Address - Country:US
Practice Address - Phone:818-346-9911
Practice Address - Fax:818-346-2857
Is Sole Proprietor?:No
Enumeration Date:2006-04-26
Last Update Date:2007-10-09
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAG20520207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAW3342Medicare PIN
CAA40945Medicare UPIN