1467461640 NPI number — WILLIAM PARKER-AMYROSENMAN-INGRID RODI PARTNERS

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1467461640 NPI number — WILLIAM PARKER-AMYROSENMAN-INGRID RODI PARTNERS

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
WILLIAM PARKER-AMYROSENMAN-INGRID RODI PARTNERS
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
6
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1467461640
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
03/22/2012
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1450 10TH ST
Provider Second Line Business Mailing Address:
SUITE 404
Provider Business Mailing Address City Name:
SANTA MONICA
Provider Business Mailing Address State Name:
CA
Provider Business Mailing Address Postal Code:
90401-2857
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
310-451-8144
Provider Business Mailing Address Fax Number:
310-451-3414

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1450 10TH ST
Provider Second Line Business Practice Location Address:
SUITE 404
Provider Business Practice Location Address City Name:
SANTA MONICA
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
90401-2857
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
310-451-8144
Provider Business Practice Location Address Fax Number:
310-451-3414
Provider Enumeration Date:
08/05/2006

Additional Information

Authorized Official

Authorized Official Last Name:
PARKER
Authorized Official First Name:
WILLIAM
Authorized Official Middle Name:
Authorized Official Title or Position:
PARTNER
Authorized Official Telephone Number:
310-451-8144

Provider Taxonomy Codes

  • Taxonomy code: 174400000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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