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 |
Experience | 52 Years |
Location | 12555 W Jefferson Blvd Ste 303, Los Angeles, California |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1093729477 | NPI | - | NPPES |
00C352710 | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207V00000X | Obstetrics & Gynecology | C35271 (California) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Providence Saint Johns Medical Foundation | 0840548624 | 273 |
Entity Name | Providence Saint Johns Medical Foundation |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1518438712 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 |
Christine 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 |