Provider Demographics
NPI:1467461640
Name:WILLIAM PARKER-AMYROSENMAN-INGRID RODI PARTNERS
Entity Type:Organization
Organization Name:WILLIAM PARKER-AMYROSENMAN-INGRID RODI PARTNERS
Other - Org Name:PARKER ROSENMAN RODI - GYNECOLOGY & INFERTILITY MEDICAL GROUP
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:DR
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:
Authorized Official - Last Name:PARKER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:310-451-8144
Mailing Address - Street 1:1450 10TH ST
Mailing Address - Street 2:SUITE 404
Mailing Address - City:SANTA MONICA
Mailing Address - State:CA
Mailing Address - Zip Code:90401-2857
Mailing Address - Country:US
Mailing Address - Phone:310-451-8144
Mailing Address - Fax:310-451-3414
Practice Address - Street 1:1450 10TH ST
Practice Address - Street 2:SUITE 404
Practice Address - City:SANTA MONICA
Practice Address - State:CA
Practice Address - Zip Code:90401-2857
Practice Address - Country:US
Practice Address - Phone:310-451-8144
Practice Address - Fax:310-451-3414
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-05
Last Update Date:2012-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAW1810Medicare ID - Type UnspecifiedMEDICARE GROUP NUMBER