Provider Demographics
NPI:1699153288
Name:ROSENBAUM,BERNSTEN AND WRIGHT
Entity type:Organization
Organization Name:ROSENBAUM,BERNSTEN AND WRIGHT
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:BUSINESS MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:ERICA
Authorized Official - Middle Name:
Authorized Official - Last Name:DEMAFELIZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:415-666-1860
Mailing Address - Street 1:3838 CALIFORNIA ST
Mailing Address - Street 2:SUITE 111
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94118-1522
Mailing Address - Country:US
Mailing Address - Phone:415-666-1860
Mailing Address - Fax:415-666-0121
Practice Address - Street 1:3838 CALIFORNIA ST
Practice Address - Street 2:SUITE 111
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94118-1522
Practice Address - Country:US
Practice Address - Phone:415-666-1860
Practice Address - Fax:415-666-0121
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-05-14
Last Update Date:2015-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG40640261QP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care