Provider Demographics
NPI:1477715613
Name:ROTHMAN, LEAH (DO)
Entity Type:Individual
Prefix:DR
First Name:LEAH
Middle Name:
Last Name:ROTHMAN
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3885 24TH ST
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94114-3840
Mailing Address - Country:US
Mailing Address - Phone:415-529-4522
Mailing Address - Fax:415-291-0489
Practice Address - Street 1:350 BON AIR CTR STE 200
Practice Address - Street 2:
Practice Address - City:GREENBRAE
Practice Address - State:CA
Practice Address - Zip Code:94904-3000
Practice Address - Country:US
Practice Address - Phone:415-578-3095
Practice Address - Fax:415-291-0489
Is Sole Proprietor?:No
Enumeration Date:2008-06-30
Last Update Date:2017-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA20A12018207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine