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NPI Code Detail

MEDICARE: JONI ROCHELLE PARKER MD

MEDICARE: JONI ROCHELLE PARKER MD
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
1207QA0505XAdult Medicine PhysicianG81690CA
2207Q00000XFamily Medicine PhysicianG81690CA

General Provider Information

NPI Number : 1609806900
Entity Type Code : Individual
Provider Name (Legal Business Name) : JONI ROCHELLE PARKER MD
Provider Business Mailing Address
First Line : 830 KUHN DR # 211333
Second Line :
City : CHULA VISTA
State : CA
Zip : 91914-3514
Country : US
Telephone Number : 619-410-8527
Fax Number :
Provider Business Practice Location Address
First Line : 808 W 58TH ST
Second Line :
City : LOS ANGELES
State : CA
Zip : 90037-3632
Country : US
Telephone Number : 323-541-1441
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/03/2006
Last Update Date : 10/17/2024

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Directions to “ JONI ROCHELLE PARKER MD” Practice Location

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