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Organization

DEANCO HEALTHCARE, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DAVID HERMAN (CHAIRMAN)
(310) 854-7773
Entity
Organization

Contact information

Practice address
14850 ROSCOE BLVD, PANORAMA CITY, CA 91402-4618
(818) 904-3685
Mailing address
8447 WILSHIRE BLVD, SUITE 202, BEVERLY HILLS, CA 90211-3226

Taxonomy

Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1750365375
NPI
CA
01
201006210262
ENTITY ID
CA
Enumeration date
07/06/2013
Last updated
07/06/2013
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