Deirdre Pendergrass in Los Angeles - Rehabilitation Practitioner
Deirdre Pendergrass - NPI 1952432650
Deirdre Pendergrass is a Rehabilitation Practitioner in Los Angeles, California. Deirdre Pendergrass practices all healthcare services and medical treatments related to Rehabilitation Practitioner. The NPI Number for Deirdre Pendergrass is 1952432650. The last update date is 2007-07-08.
Deirdre Pendergrass's current location address is 3787 S Vermont Ave, Los Angeles, California. You can contact this provider via phone number 3237662345 and fax number 3237663636. The mailing address for Deirdre Pendergrass is 3787 S Vermont Ave, Los Angeles, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Deirdre Pendergrass |
|---|---|
| Address | 3787 S Vermont Ave, Los Angeles, California |
| Phone Number | 3237662345 |
| Fax Number | 3237663636 |
| Sole Proprietor | N |
| Credentials | BA |
NPI Number Detail
| NPI Number | 1952432650 |
|---|---|
| Provider Enumeration Date | 2007-03-07 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 3787 S Vermont Ave |
|---|---|
| City | Los Angeles |
| State | California (CA) |
| Post Code | 900074203 |
| Phone Number | 3237662345 |
| Fax Number | 3237663636 |
Provider's Primary Taxonomy Detail
| Speciality | Rehabilitation Practitioner |
|---|---|
| Taxonomy | 225400000X |
|
Definition: A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity. |
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What is the unique provider identifier assigned to Deirdre Pendergrass?
The Deirdre Pendergrass has been issued the NPI (National Provider Identifier) 1952432650 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you kindly provide the complete physical address where Deirdre Pendergrass's facilities are geographically located?
The facilities of Deirdre Pendergrass are physically situated at the following location: 3787 S Vermont Ave, Los Angeles, CA, 900074203.
What is Deirdre Pendergrass's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Deirdre Pendergrass is Rehabilitation Practitioner, and the corresponding taxonomy classification code for this specialized field is 225400000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1952432650 to Deirdre Pendergrass?
The Deirdre Pendergrass received its 1952432650 assignment from the Centers for Medicare & Medicaid Services on 2007-03-07.
When was the Deirdre Pendergrass's information last updated?
The Deirdre Pendergrass's information was last updated on 2007-07-08.
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