OrganizationActive
Jack Rothberg MD a Medical Copt
NPI 1669740338 · Forensic Psychiatry Physician · Los Angeles, CA
Provider details
- NPI number
- 1669740338
- Entity type
- Organization
- Primary specialty
- Forensic Psychiatry PhysicianAllopathic & Osteopathic Physicians
- Authorized official
- Jack Rothberg, Owner
- License
- G29894 (CA)
Practice location
6200 Wilshire Blvd
Suite 1612
Los Angeles, CA 90048
Phone: (323) 857-8000
Fax: (323) 857-8008
Mailing address
6200 Wilshire Blvd
Los Angeles, CA 90048
Registry dates
- Enumerated
- 2011-12-08
- Last updated
- 2011-12-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.