Organization
REBECCA FITZGERALD M.D. , INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. REBECCA LOUIS FITZGERALD M.D. (PRESIDENT / CEO)
(323) 464-8046
Entity
Organization
Contact information
Practice address
321 N LARCHMONT BLVD, SUITE 906, LOS ANGELES, CA 90004-3025
(323) 464-8046
Mailing address
321 N LARCHMONT BLVD, SUITE 906, LOS ANGELES, CA 90004-3025
(323) 464-8046
Taxonomy
Speciality
Code
Description
License number
State
207NS0135X
Procedural Dermatology Physician
Primary
A49000
CA
Other
Enumeration date
02/25/2013
Last updated
02/25/2013
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