MEDICARE: MS. IRENE RODRIGUEZ MARKER NP

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	363LC0200X	Critical Care Medicine Nurse Practitioner	438309	CA

General Provider Information

NPI Number	:	1447423298
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. IRENE RODRIGUEZ MARKER NP

Provider Business Mailing Address
First Line	:	8536 WILSHIRE BLVD
Second Line	:	SUITE 201
City	:	BEVERLY HILLS
State	:	CA
Zip	:	90211-3103
Country	:	US
Telephone Number	:	310-423-2077
Fax Number	:	310-248-8252

Provider Business Practice Location Address
First Line	:	8536 WILSHIRE BLVD
Second Line	:	SUITE 201
City	:	BEVERLY HILLS
State	:	CA
Zip	:	90211-3103
Country	:	US
Telephone Number	:	310-423-2077
Fax Number	:	310-248-8252

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

Provider Enumeration Date	:	04/11/2008
Last Update Date	:	09/07/2011

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