Provider Demographics
NPI:1275807323
Name:ROTHMAN, LEONARD ARIE (MD)
Entity Type:Individual
Prefix:DR
First Name:LEONARD
Middle Name:ARIE
Last Name:ROTHMAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:DR
Other - First Name:LEONARD
Other - Middle Name:ARIE
Other - Last Name:ROTHMAN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DIPLOMATEABOG
Mailing Address - Street 1:999 GREEN ST
Mailing Address - Street 2:3102
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94133-3662
Mailing Address - Country:US
Mailing Address - Phone:415-775-5200
Mailing Address - Fax:415-775-5040
Practice Address - Street 1:999 GREEN ST
Practice Address - Street 2:3102
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94133-3662
Practice Address - Country:US
Practice Address - Phone:415-775-5200
Practice Address - Fax:415-775-5040
Is Sole Proprietor?:Yes
Enumeration Date:2012-03-06
Last Update Date:2012-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG23205207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology