Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VE0102X | Reproductive Endocrinologist | G33698 | CA |
NPI | 1336286889 |
---|---|
Provider Name | Dr. Rebecca Sokol |
First Address | Los Angeles, CA 90033-1036 |
Second Address | Los Angeles, CA 90017-3901 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 31/01/2007 |
Last Update Date | 21/08/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1992740450 | GROUP NPI (01) | |
A45647 | (02) | |
ZZZ56147Z | BLUE SHIELD (01) | CA |