Individual
RITA GORDON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
1245 16TH ST STE 312, SANTA MONICA, CA 90404-1239
(310) 794-7274
Mailing address
5767 W CENTURY BLVD STE 400, LOS ANGELES, CA 90045-5631
(310) 301-8707
(646) 312-0481
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
F001714
NY
367A00000X
Advanced Practice Midwife
Primary
236078
CA
367A00000X
Advanced Practice Midwife
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00695941
—
NY
Enumeration date
09/25/2015
Last updated
05/23/2022
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