Gordon, Rita

Gordon, Rita is an sole proprietor health care provider with primary practice located at 1245 16Th St Ste 312 , Santa Monica CA 90404-1239. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Midwife, Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife. Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife is her primary health care specialty. Gordon, Rita can be contacted via phone (310) 794-7274.

Contact Information

Primary practice address
1245 16Th St Ste 312 Santa Monica CA 90404-1239
Phone: (310) 794-7274
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Midwife 176B00000X F001714 New York
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife 367A00000X
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife 367A00000X 236078 California

Profile Details

NPI number 1477923076
LBN Legal business name Gordon, Rita
Credentials Certified Nurse Midwife (CNM)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 25th, 2015
Last updated May 23rd, 2022 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1477923076 NPPES
New York MEDICAID 00695941

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