Individual
SANDEEP DEOGUN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
14463 DUSTY COYOTE AVE, MORENO VALLEY, CA 92555-5759
(951) 489-8295
Mailing address
14463 DUSTY COYOTE AVE, MORENO VALLEY, CA 92555-5759
(951) 489-8295
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
95069443
CA
367500000X
Certified Registered Nurse Anesthetist
Primary
95001508
CA
Other
Enumeration date
09/24/2020
Last updated
03/08/2021
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