Healthcare Provider Details

I. General information

NPI: 1003551946
Provider Name (Legal Business Name): REBEKAH MORGAN FIERS MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/04/2022
Last Update Date: 07/15/2025
Certification Date: 07/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6801 PARK TER STE 500
LOS ANGELES CA
90045-9212
US

IV. Provider business mailing address

6801 PARK TER STE 500
LOS ANGELES CA
90045-9212
US

V. Phone/Fax

Practice location:
  • Phone: 310-665-7235
  • Fax:
Mailing address:
  • Phone: 310-665-7235
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: