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General NPI Number Information
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NPI Number | 1396145116
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Entity Type | Organization
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Legal Business Name | GINNI S. ROSENFELD, MD INC
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Dates
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Enumeration Date | 08/28/2014
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Last Update Date | 02/10/2022
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Provider Practice Location Address
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Address Line | 575 E HARDY ST STE 212
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City | INGLEWOOD
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State | CA
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Zip | 90301-4026
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Country | US
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Telephone | 310-742-2245
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Fax | 310-742-2275
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Provider Business Mailing Address
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Address Line | 1223 WILSHIRE BLVD STE 576
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City | SANTA MONICA
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State | CA
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Zip | 90403-5406
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Country | US
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Telephone | 310-742-2245
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Fax | 310-742-2275
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. GINNI S ROSENFELD
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Credential | MD
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Telephone | 310-742-2245
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207VM0101X
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Taxonomy Name | Maternal & Fetal Medicine Physician
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License Number | A83201
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License Number State | CA
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