Dr Mary Jennifer Derebery, - Otolaryngology in Los Angeles, CA

Dr Mary Jennifer Derebery, is a Otolaryngology - Otolaryngic Allergy physician based in Los Angeles, California. Dr Mary Jennifer Derebery is licensed to practice in California (license number C42073) and her current practice location is 2100 W 3rd St, Suite 111, Los Angeles, California. She can be reached at her office (for appointments etc.) via phone at (213) 483-9930.

NPI number for Dr Mary Jennifer Derebery is 1457440992 and her current mailing address is 2100 W 3rd St, Suite 111, Los Angeles, California. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1457440992.

Contact Information

Dr Mary Jennifer Derebery,
2100 W 3rd St, Suite 111,
Los Angeles, CA 90057-1944
(213) 483-9930
(213) 483-0905

Map and Direction




Physician's Profile

Full NameDr Mary Jennifer Derebery
GenderFemale
SpecialityOtolaryngology - Otolaryngic Allergy
Location2100 W 3rd St, Los Angeles, California
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1457440992
  • Provider Enumeration Date: 10/12/2006
  • Last Update Date: 08/15/2013

Medical Identifiers

Medical identifiers for Dr Mary Jennifer Derebery such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1457440992NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207YX0602XOtolaryngology - Otolaryngic Allergy C42073 (California)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Mary Jennifer Derebery is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Mary Jennifer Derebery,
2100 W 3rd St, Suite 111,
Los Angeles, CA 90057-1944

Ph: (213) 483-9930
Dr Mary Jennifer Derebery,
2100 W 3rd St, Suite 111,
Los Angeles, CA 90057-1944

Ph: (213) 483-9930

Reviews and Comments


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