Individual
DR. ROYAL DEAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1687 ERRINGER RD STE 217, SIMI VALLEY, CA 93065-6510
(805) 577-0059
Mailing address
1129 RED TAIL WAY, SIMI VALLEY, CA 93065-7232
(805) 522-6222
(805) 577-0559
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
G063880
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
110237972
RAIL ROAD MEDICARE
CA
Enumeration date
07/18/2006
Last updated
03/08/2017
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