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Organization

DEOROSAN PROFESSIONAL MEDICAL CORPORATION

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. VERRETTA DEOROSAN MD (PRESIDENT/OWNER)
(323) 779-2800
Entity
Organization

Contact information

Practice address
11502 S VERMONT AVE, LOS ANGELES, CA 90044-6522
(323) 779-2800
(323) 754-4014
Mailing address
11502 S VERMONT AVE, LOS ANGELES, CA 90044-6522
(323) 779-2800
(323) 754-4014

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
G73639
CA

Other

Enumeration date
12/18/2007
Last updated
12/18/2007
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