Healthcare Provider Details

I. General information

NPI: 1548213929
Provider Name (Legal Business Name): SHARLITA M. RODGERS-SIMPKINS M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/18/2006
Last Update Date: 03/07/2023
Certification Date: 03/05/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12360 FIRESTONE BLVD
NORWALK CA
90650-4324
US

IV. Provider business mailing address

12360 FIRESTONE BLVD
NORWALK CA
90650-4324
US

V. Phone/Fax

Practice location:
  • Phone: 562-867-7999
  • Fax:
Mailing address:
  • Phone: 562-867-7999
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberG58118
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: