Individual
TIMOTHY WILLIAM DEAKERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, PHD
Contact information
Practice address
4650 W SUNSET BLVD, MS# 12, LOS ANGELES, CA 90027-6062
(323) 361-2557
(323) 361-0728
Mailing address
6430 W SUNSET BLVD, SUITE 600, LOS ANGELES, CA 90028-7901
(323) 361-2337
(323) 361-8491
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
G49229
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G492290
—
CA
01
—
00G492290 F90
CAL OPTIMA
CA
Enumeration date
09/30/2006
Last updated
05/14/2008
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