Mary Jennifer Derebery in Los Angeles - Otolaryngic Allergy
Mary Jennifer Derebery - NPI 1457440992
Mary Jennifer Derebery is a Otolaryngic Allergy in Los Angeles, California. Mary Jennifer Derebery practices all healthcare services and medical treatments related to Otolaryngic Allergy. The NPI Number for Mary Jennifer Derebery is 1457440992. The last update date is 2013-08-15.
Mary Jennifer Derebery's current location address is 2100 W 3rd St, Los Angeles, California. You can contact this provider via phone number 2134839930 and fax number 2134830905. The mailing address for Mary Jennifer Derebery is 2100 W 3rd St, Los Angeles, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mary Jennifer Derebery |
|---|---|
| Address | 2100 W 3rd St, Los Angeles, California |
| Phone Number | 2134839930 |
| Fax Number | 2134830905 |
| Sole Proprietor | N |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1457440992 |
|---|---|
| Provider Enumeration Date | 2006-10-12 |
| Last Updated Date | 2013-08-15 |
Provider Mailing Address Detail
| Address | 2100 W 3rd St |
|---|---|
| City | Los Angeles |
| State | California (CA) |
| Post Code | 900571944 |
| Phone Number | 2134839930 |
| Fax Number | 2134830905 |
Provider's Primary Taxonomy Detail
| Speciality | Otolaryngic Allergy |
|---|---|
| Taxonomy | 207Yx0602X |
| Licence No | C42073 |
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Definition: An otolaryngologist who specializes in the diagnosis and treatment of otolaryngic allergies and other allergic diseases. |
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Post Comment/ Review Below
What is the Mary Jennifer Derebery's 1457440992?
The Mary Jennifer Derebery's NPI (National Provider Identifier) Number is 1457440992. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where Mary Jennifer Derebery is geographically located?
The Mary Jennifer Derebery is physically situated at the following location: 2100 W 3Rd St, Los Angeles, CA, 900571944.
What is Mary Jennifer Derebery's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Mary Jennifer Derebery is Otolaryngic Allergy, and the taxonomy code that classifies this field of practice is 207Yx0602X.
When did the Mary Jennifer Derebery receive its 1457440992?
The Mary Jennifer Derebery was issued its 1457440992 on 2006-10-12, which is the date when the organization was assigned this unique identifier.
As of what date was the information regarding Mary Jennifer Derebery, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Mary Jennifer Derebery, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2013-08-15.