Provider Demographics
NPI:1578662086
Name:ROTHMAN, YARIV E (DC)
Entity Type:Individual
Prefix:DR
First Name:YARIV
Middle Name:E
Last Name:ROTHMAN
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2232 SANTA MONICA BLVD STE 101
Mailing Address - Street 2:
Mailing Address - City:SANTA MONICA
Mailing Address - State:CA
Mailing Address - Zip Code:90404-2312
Mailing Address - Country:US
Mailing Address - Phone:310-396-3635
Mailing Address - Fax:310-396-3645
Practice Address - Street 1:2232 SANTA MONICA BLVD STE 101
Practice Address - Street 2:
Practice Address - City:SANTA MONICA
Practice Address - State:CA
Practice Address - Zip Code:90404-2312
Practice Address - Country:US
Practice Address - Phone:310-396-3635
Practice Address - Fax:310-396-3645
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-21
Last Update Date:2018-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC25498111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor