Provider Demographics
NPI:1750387692
Name:ROTHFELD, JOEL M (MD)
Entity type:Individual
Prefix:DR
First Name:JOEL
Middle Name:M
Last Name:ROTHFELD
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:120 INDEPENDENCE CIR
Mailing Address - Street 2:STE G
Mailing Address - City:CHICO
Mailing Address - State:CA
Mailing Address - Zip Code:95973-4925
Mailing Address - Country:US
Mailing Address - Phone:530-898-1201
Mailing Address - Fax:530-342-2094
Practice Address - Street 1:120 INDEPENDENCE CIR
Practice Address - Street 2:STE G
Practice Address - City:CHICO
Practice Address - State:CA
Practice Address - Zip Code:95973-4925
Practice Address - Country:US
Practice Address - Phone:530-342-2091
Practice Address - Fax:530-342-2094
Is Sole Proprietor?:Yes
Enumeration Date:2005-06-24
Last Update Date:2020-02-12
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CAG731662084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
Provider Identifiers
StateIdentifier IDID TypeIssuer
130020224OtherMEDICARE RAILROAD #
CA00G731661Medicaid
CAF76813Medicare UPIN
CA00G731661Medicaid