Deorosan Professional Medical Corporation | |
11502 S Vermont Ave Los Angeles CA 90044-6522 | |
(323) 779-2800 | |
(323) 754-4014 |
Full Name | Deorosan Professional Medical Corporation |
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Speciality | Internal Medicine |
Location | 11502 S Vermont Ave, Los Angeles, California |
Authorized Official Name and Position | Verretta Deorosan (PRESIDENT/OWNER) |
Authorized Official Contact | 3237792800 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Deorosan Professional Medical Corporation 11502 S Vermont Ave Los Angeles CA 90044-6522 Ph: (323) 779-2800 | Deorosan Professional Medical Corporation 11502 S Vermont Ave Los Angeles CA 90044-6522 Ph: (323) 779-2800 |
NPI Number | 1497939177 |
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Provider Enumeration Date | 12/18/2007 |
Last Update Date | 12/18/2007 |
Medicare PECOS PAC ID | 8729158027 |
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Medicare Enrollment ID | O20080529000252 |
Identifier | Type | State | Issuer |
---|---|---|---|
1497939177 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | G73639 (California) | Primary |
Provider Name | Veretta Deorosan |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1104997683 PECOS PAC ID: 0648340935 Enrollment ID: I20080529000242 |
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