Provider Demographics
NPI:1811747967
Name:ROTHSCHILD, HARRIET THEODORA (MD)
Entity type:Individual
Prefix:
First Name:HARRIET
Middle Name:THEODORA
Last Name:ROTHSCHILD
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1331 WILLARD ST
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94117-3706
Mailing Address - Country:US
Mailing Address - Phone:650-388-8060
Mailing Address - Fax:
Practice Address - Street 1:9444 MEDICAL CENTER DR FL 2
Practice Address - Street 2:
Practice Address - City:LA JOLLA
Practice Address - State:CA
Practice Address - Zip Code:92037-1337
Practice Address - Country:US
Practice Address - Phone:858-249-1206
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-03-22
Last Update Date:2024-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program