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Contact Information

RITA GORDON, CNM
1245 16TH ST STE 312
SANTA MONICA, CA90404-1239
 Phone: 310-794-7274
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Advanced Practice Midwife

367A00000X 42 Certified Nurse Midwife
 

Midwife

176B00000X
Indicates primary specialty

NPI Profile & details for RITA GORDON · (Female)

NPI Number 1477923076
Status Active
Credentials CNM (Certified Nurse Midwife)
Entity Individual
Enumeration date 09/25/2015
Last updated 05/23/2022 - About 4 years ago
Sole proprietor 1 Yes
Identifiers
  • CA License # 236078
  • NY License # F001714
  • NY Medicaid 00695941
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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