Individual
DEACON EMMET FARRELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
8700 BEVERLY BLVD, WEST HOLLYWOOD, CA 90048-1804
(310) 423-1000
Mailing address
8010 HOLLYWOOD BLVD, DECON - SUTIE- APT 609, LOS ANGELES, CA 90046
(347) 379-0135
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
A163151
CA
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
A163151
CA
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
07/22/2015
Last updated
09/30/2024
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