Individual
ROCHELLE AMI DICKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
200 UCLA MEDICAL PLZ STE 214, LOS ANGELES, CA 90095-3518
(310) 794-7788
(310) 794-4337
Mailing address
5767 W CENTURY BLVD STE 400, LOS ANGELES, CA 90045-5631
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
A76850
CA
2086S0102X
Surgical Critical Care Physician
Primary
A76850
CA
2086S0127X
Trauma Surgery Physician
A76850
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
020051249
RAILROAD MEDICARE
CA
05
—
OOA768500
—
CA
Enumeration date
05/03/2006
Last updated
12/23/2019
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