Organization
HOUSE HEALTHCARE INC.
Active
Parent organization
HOUSE EAR CLINIC INC.
Organization subpart
Yes
Provider details
NPI number
Legal business name
HOUSE EAR CLINIC INC.
Authorized official
MRS. MARY JENNIFER DEREBERY M.D. (VICE PRESIDENT)
(213) 483-9930
Entity
Organization
Contact information
Practice address
2100 W 3RD ST, SUITE 111, LOS ANGELES, CA 90057-1944
(213) 483-9930
(213) 483-0905
Mailing address
PO BOX 74070, LOS ANGELES, CA 90004-0070
(213) 483-9930
(213) 483-0905
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
—
—
207YX0602X
Otolaryngic Allergy Physician
Primary
—
—
Other
Enumeration date
09/09/2010
Last updated
09/09/2010
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