REBECCA LOUIS FITZGERALD (NPI# 1285690321) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285690321 |
| Entity Type | Individual |
| Full Name | REBECCA LOUIS FITZGERALD |
| Credential | M.D. |
| Practice Address |
321 N Larchmont Blvd Suite 906 Los Angeles CA 90004-3025 |
| Mailing Address |
Po Box 2866 Torrance CA 90509-2866 |
| Practice Telephone | 3234648046 |
| Practice Fax Number | 3234641832 |
| Mailing Telephone | 3107920601 |
| Mailing Fax Number | 3107929062 |
| Enumeration Date | 2006-04-26 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 207N00000X | Dermatology | A49000 | CA | Allopathic & Osteopathic Physicians |
| X | 207NS0135X |
Dermatology Specialization: Procedural Dermatology |
A49000 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | BLUE SHIELD | 00A490000 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881909497 | Rebecca Fitzgerald | Physical Therapist | 1 Towne Ctr, Suite 1007, Cliffside Pk, NJ 07010-2056 | 2010-08-09 |
| 1376142950 | Rebecca Fitzgerald | Behavior Technician | 7220 W 41st St, Sioux Falls, SD 57106-6028 | 2020-10-23 |
| 1205317096 | Rebecca Lynn Fitzgerald | Social Worker | 10541 Drummond Rd, Philadelphia, PA 19154-3807 | 2018-08-28 |
| 1164965612 | Rebecca Fitzgerald | Specialist/Technologist | 1800 College Ave, Manhattan, KS 66502-3308 | 2016-11-30 |
| 1689797011 | Rebecca Ann Fitzgerald | Counselor | 6021 Morriss Rd, Building II, Suite 109a, Flower Mound, TX 75028-3710 | 2007-04-09 |
| 1720109051 | Rebecca A Fitzgerald | Marriage & Family Therapist | 1212 N California St, Stockton, CA 95202-1552 | 2007-04-03 |
| 1164561551 | Rebecca Fitzgerald | Anesthesiologist Assistant | 804 Scott Nixon Memorial Dr, Augusta, GA 30907-2464 | 2007-02-05 |
| Street Address |
321 N LARCHMONT BLVD SUITE 906 |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90004-3025 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679542252 | Richard M Benoit | Obstetrics & Gynecology | 321 N Larchmont Blvd, Suite 525, Los Angeles, CA 90004-3025 | 2006-03-16 |
| 1740715051 | Richard Stafford | Dentist | 321 N Larchmont Blvd, Suite 721, Los Angeles, CA 90004-3025 | 2017-04-24 |
| 1124552484 | Robert Vonwendt | Dentist | 321 N Larchmont Blvd, Suite #722, Los Angeles, CA 90004-3025 | 2017-04-13 |
| 1518334945 | Sara Kenney Lcsw Inc | Social Worker | 321 N Larchmont Blvd, Suite 622, Los Angeles, CA 90004-3025 | 2015-09-02 |
| 1265851034 | Hancock Park Surgery Center, LLC | Clinic/Center | 321 N Larchmont Blvd, Suite 1011, Los Angeles, CA 90004-3025 | 2014-04-09 |
| 1821413592 | Larchmont Pediatrics, Inc. | Clinic/Center | 321 N Larchmont Blvd, Suite 1020, Los Angeles, CA 90004-3025 | 2014-03-04 |
| 1366863813 | Larchmont Surgery Center, LLC | Clinic/Center | 321 N Larchmont Blvd, Los Angeles, CA 90004-3025 | 2013-12-31 |
| 1083954226 | Rebecca Fitzgerald M.d., Inc. | Dermatology | 321 N Larchmont Blvd, Suite 906, Los Angeles, CA 90004-3025 | 2013-02-25 |
| 1851604771 | Carolyn Lee Taylor | Physician Assistant | 321 N Larchmont Blvd, Suite 505, Los Angeles, CA 90004-3025 | 2010-07-20 |
| 1225368558 | Richard M Benoit Md Inc | Obstetrics & Gynecology | 321 N Larchmont Blvd, Suite 525, Los Angeles, CA 90004-3025 | 2010-01-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225504160 | Jessica M. Louie | Pharmacist | 590 North Vermont Avenue, Suite 334, Los Angeles, CA 90004 | 2018-10-18 |
| 1033615828 | Javier G Ibarra | Counselor | 3910 Oakwood Ave., Los Angeles, CA 90004 | 2018-04-02 |
| 1558804351 | Bhc Alhamba Hospital | Psychiatric Residential Treatment Facility | 115 N. Mccadden Place, Los Angeles, CA 90004 | 2016-11-28 |
| 1275907719 | Rozalin Banafsheian | Psychologist | 522 N. Larchmont, Los Angeles, CA 90004 | 2015-11-20 |
| 1104214196 | Estrellita Rubio Reyes | Pediatrics | 3908 Beverly Blvd., Los Angeles, CA 90004 | 2014-12-30 |
| 1760888226 | Hardy Ophuls | Marriage & Family Therapist | 439 N. Larchmont Bl., Los Angeles, CA 90004 | 2014-11-11 |
| 1528462991 | Latrice Nicole Hardison | Licensed Vocational Nurse | 225 N. Mariposa Ave, Los Angeles, CA 90004 | 2014-10-14 |
| 1215331947 | Shonn Bunn | Rehabilitation Practitioner | 433 N. Hoover, Los Angeles, CA 90004 | 2014-10-09 |
| 1609296581 | Michael Armen Kezian | Dentist | 581 N Larchmont Blvd, Los Angeles, CA 90004 | 2014-04-18 |
| 1427485549 | Kir Medical Group | Family Medicine | 123 177th Street, Los Angeles, CA 90004 | 2013-10-03 |
| Find all providers in zip 90004 | ||||
| Taxonomy Code | 207N00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Dermatology, 2007. http://www.abderm.org/ Board certification is provided by the American Board of Dermatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669081204 | Lucy Boyadzhian | Dermatology | 7472 Melrose Ave, Los Angeles, CA 90046-7524 | 2020-07-29 |
| 1245862101 | Yuval Bibi, A Professional Corporation | Dermatology | 7266 Franklin Ave Apt 321, Los Angeles, CA 90046-8324 | 2020-02-09 |
| 1679120422 | Sameer Bashey Md Pllc | Dermatology | 9201 W Sunset Blvd Ste 414, Los Angeles, CA 90069-3705 | 2019-08-26 |
| 1538640669 | James Y. Wang, Md, Inc. | Dermatology | 888 S Figueroa St Ste 1050, Los Angeles, CA 90017-5310 | 2018-08-27 |
| 1235639691 | Pearl E. Grimes Md, Inc. | Dermatology | 5670 Wilshire Blvd Ste 650, Los Angeles, CA 90036-5609 | 2018-02-12 |
| 1578926622 | Tuyet Ann Nguyen | Dermatology | 1127 Wilshire Blvd Ste 600, Los Angeles, CA 90017-3907 | 2016-04-05 |
| 1215370960 | Courtney Phillips | Dermatology | 1200 N State St # 3250, Los Angeles, CA 90033-1029 | 2013-04-12 |
| 1760749311 | Ardalan Minokadeh | Dermatology | 9201 W Sunset Blvd Ste 602, Los Angeles, CA 90069-3707 | 2012-04-20 |
| 1518254481 | Samuel Jackson Balin | Dermatology | 200 Medical Plz Ste 450, Los Angeles, CA 90095 | 2011-06-29 |
| 1689963340 | Consuelo Veronica David | Dermatology | 3520 Somerset Dr, Los Angeles, CA 90016-4808 | 2011-04-04 |
| Find all providers in LOS ANGELES | ||||
| City | LOS ANGELES |
| Zip Code | 90004 |
Please comment or provide details below to improve the information on REBECCA LOUIS FITZGERALD.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.