MEDICARE: DR. MARGARET BATES M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207V00000X	Obstetrics & Gynecology Physician	G50676	CA

General Provider Information

NPI Number	:	1407956527
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MARGARET BATES M.D.

Provider Business Mailing Address
First Line	:	637 LUCAS AVE
Second Line	:	SUITE 200
City	:	LOS ANGELES
State	:	CA
Zip	:	90017-1912
Country	:	US
Telephone Number	:	213-977-4190
Fax Number	:	213-250-4847

Provider Business Practice Location Address
First Line	:	637 LUCAS AVE
Second Line	:	SUITE 200
City	:	LOS ANGELES
State	:	CA
Zip	:	90017-1912
Country	:	US
Telephone Number	:	213-977-4190
Fax Number	:	213-250-4847

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/25/2006
Last Update Date	:	07/08/2007

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