Kenneth Mark Rosenbaum
MD | Pediatrics | Male
Kenneth Mark Rosenbaum, MD is a San Mateo, California based Pediatric doctor with medical specialization in
General Pediatrics.
Current practice location of Kenneth Mark Rosenbaum is
123 S San Mateo Dr, San Mateo, California - 94401-3804. He can be contacted on phone at
650-343-4200.
Kenneth Mark Rosenbaum is a sole proprietor of his business.
NPI number (Unique professional ID) for Kenneth Mark Rosenbaum is
1407922404 which was assigned by NPPES on 28 Nov, 2006 and it was last updated on 09 Mar, 2020.
Kenneth Mark Rosenbaum license number is
G76294 for Pediatrics (208000000X) in California.
Kenneth Mark Rosenbaum is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Kenneth Mark Rosenbaum basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
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| Provider Name : | Kenneth Mark Rosenbaum |
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| Credential : | MD |
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| Gender : | Male |
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Business Address:
Kenneth Mark Rosenbaum address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 123 S San Mateo Dr
San Mateo, CA, 94401-3804
United States |
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| Phone Number : | 650-343-4200 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1407922404 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 28 Nov, 2006 |
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| Last Updated On : | 09 Mar, 2020 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Kenneth Mark Rosenbaum are as mentioned. Primary taxonomy code for Kenneth Mark Rosenbaum, MD is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | Yes | G76294 | CA |
Legacy Identifiers:
Other legacy medical identifiers of Kenneth Mark Rosenbaum such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 943293486 | Other | CA | PRACTICE TAX ID NUMBER |
| GR0081923 | MEDICAID | CA | |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 325 Distel Cir
Los Altos, CA, 94022-1408
United States |
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| Phone Number : | 650-652-8720 |
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Business Location:
Patients can refer following map for directions to
Kenneth Mark Rosenbaum practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.