Verretta Deorosan in Los Angeles - Internal Medicine

Verretta Deorosan - NPI 1104997683

Verretta Deorosan is a Internal Medicine in Los Angeles, California. Verretta Deorosan practices all healthcare services and medical treatments related to Internal Medicine. The NPI Number for Verretta Deorosan is 1104997683. The last update date is 2008-07-30.

Verretta Deorosan's current location address is 11502 S Vermont Ave, Los Angeles, California. You can contact this provider via phone number 3237792800 and fax number 3237544014. The mailing address for Verretta Deorosan is 11502 S Vermont Ave, Los Angeles, California. To know further, please read the information below!

Provider Profile Detail

Provider Name Verretta Deorosan
Address 11502 S Vermont Ave, Los Angeles, California
Phone Number 3237792800
Fax Number 3237544014
Sole Proprietor Y
Credentials M.D.

NPI Number Detail

NPI Number 1104997683
Provider Enumeration Date 2006-11-13
Last Updated Date 2008-07-30

Provider Mailing Address Detail

Address 11502 S Vermont Ave
City Los Angeles
State California (CA)
Post Code 900446522
Phone Number 3237792800
Fax Number 3237544014

Provider's Primary Taxonomy Detail

Speciality Internal Medicine
Taxonomy 207R00000X
Licence No G73639
Definition:
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and di

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
OOG736390 CA --

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FAQs about Verretta Deorosan

What is the unique identifier code issued to Verretta Deorosan by the Centers for Medicare & Medicaid Services (CMS)?

The Verretta Deorosan has been assigned the NPI (National Provider Identifier) 1104997683. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Could you provide the complete address where Verretta Deorosan is physically located?

The Verretta Deorosan is situated at the following address: 11502 S Vermont Ave, Los Angeles, CA 900446522.

What is the area of specialization for Verretta Deorosan, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Verretta Deorosan is Internal Medicine, and the corresponding taxonomy code that categorizes this area of expertise is 207R00000X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1104997683 to Verretta Deorosan?

The Centers for Medicare & Medicaid Services originally issued the 1104997683 to Verretta Deorosan on 2006-11-13.

As of what date was the information regarding Verretta Deorosan, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Verretta Deorosan, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2008-07-30.

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