Healthcare Provider Details

I. General information

NPI: 1447423298
Provider Name (Legal Business Name): IRENE RODRIGUEZ MARKER NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/11/2008
Last Update Date: 09/07/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8536 WILSHIRE BLVD SUITE 201
BEVERLY HILLS CA
90211-3103
US

IV. Provider business mailing address

8536 WILSHIRE BLVD SUITE 201
BEVERLY HILLS CA
90211-3103
US

V. Phone/Fax

Practice location:
  • Phone: 310-423-2077
  • Fax: 310-248-8252
Mailing address:
  • Phone: 310-423-2077
  • Fax: 310-248-8252

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LC0200X
TaxonomyCritical Care Medicine Nurse Practitioner
License Number438309
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: