Provider Demographics
NPI:1861541070
Name:ROSENFELD, GINNI S (MD)
Entity type:Individual
Prefix:DR
First Name:GINNI
Middle Name:S
Last Name:ROSENFELD
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1223 WILSHIRE BLVD
Mailing Address - Street 2:SUITE 576
Mailing Address - City:SANTA MONICA
Mailing Address - State:CA
Mailing Address - Zip Code:90403-5406
Mailing Address - Country:US
Mailing Address - Phone:310-742-2245
Mailing Address - Fax:310-742-2275
Practice Address - Street 1:575 E HARDY ST STE 212
Practice Address - Street 2:
Practice Address - City:INGLEWOOD
Practice Address - State:CA
Practice Address - Zip Code:90301-4026
Practice Address - Country:US
Practice Address - Phone:310-742-2245
Practice Address - Fax:310-742-2275
Is Sole Proprietor?:No
Enumeration Date:2007-01-09
Last Update Date:2022-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA83201207VM0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VM0101XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyMaternal & Fetal Medicine