Fitzgerald, Rebecca Louis
Fitzgerald, Rebecca Louis is an sole proprietor health care provider with primary practice located at 321 N Larchmont Blvd Suite 906, Los Angeles CA 90004-3025. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Dermatology, Allopathic & Osteopathic Physicians / Procedural Dermatology. Allopathic & Osteopathic Physicians / Dermatology is her primary health care specialty. Fitzgerald, Rebecca Louis can be contacted via phone (323) 464-8046.Contact Information
Primary practice address
321 N Larchmont Blvd Suite 906
Los Angeles CA 90004-3025
Phone: (323) 464-8046
Fax: (323) 464-1832
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | A49000 | California |
| Allopathic & Osteopathic Physicians / Procedural Dermatology | 207NS0135X | A49000 | California |
Profile Details
| NPI number | 1285690321 |
|---|---|
| LBN Legal business name | Fitzgerald, Rebecca Louis |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 26th, 2006 |
| Last updated | Jul 8th, 2007 - about 17 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1285690321 | NPPES |
| California | Other | 00A490000 | BLUE SHIELD |
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