| Dale Gene Parks, MD | |
|
12555 W Jefferson Blvd Ste 303, Los Angeles, CA 90066-7032 | |
| (310) 822-5066 | |
| (310) 827-4420 |
| Full Name | Dale Gene Parks |
|---|---|
| Gender | Male |
| Speciality | Obstetrics & Gynecology |
| Location | 12555 W Jefferson Blvd Ste 303, Los Angeles, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093729477 | NPI | - | NPPES |
| 00C352710 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207V00000X | Obstetrics & Gynecology | C35271 (California) | Primary |
| Entity Name | Providence Saint Johns Medical Foundation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1770093734 PECOS PAC ID: 0840548624 Enrollment ID: O20180810000904 |
| Mailing Address | Practice Location Address |
|---|---|
| Dale Gene Parks, MD 4560 Admiralty Way, Suite 303, Marina Del Rey, CA 90292 Ph: (310) 822-5066 | Dale Gene Parks, MD 12555 W Jefferson Blvd Ste 303, Los Angeles, CA 90066-7032 Ph: (310) 822-5066 |
Noa Carter Sterling, M.D. Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 1200 N State St, Inpt Tower C3f107, Los Angeles, CA 90033 Phone: 323-409-8847 | |
Dr. Sonya Fabricant, MD Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 2051 Marengo St, Los Angeles, CA 90033 Phone: 323-409-8848 | |
Ingrid Rodi, M.D. Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 200 Medical Plz, 202, Los Angeles, CA 90095 Phone: 310-794-7274 | |
Mary Gatter, M.D. Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 400 W 30th St, Los Angeles, CA 90007 Phone: 213-284-3211 | |
Dr. James Allan Mcgregor, M.D. Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 1240 N Mission Rd, Room 5k40, Los Angeles, CA 90033 Phone: 323-221-3270 Fax: 323-226-2710 | |
Dr. Crystal Lynn Adams, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 2020 Zonal Avenue, Ird 220, Los Angeles, CA 90033 Phone: 323-226-3423 Fax: 323-226-3509 | |
Dr. Vladimir Nossov, M.D. Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: Department Of Ob/gyn Ucla Medical Center, 10833 Leconte Avenue, Los Angeles, CA 90095 Phone: 310-206-6766 |