Individual
DANIEL ALBERTO DEUGARTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
10833 LE CONTE AVE, SUITE 526, LOS ANGELES, CA 90095-3075
(310) 206-2429
(310) 206-1120
Mailing address
5767 W CENTURY BLVD, SUITE 400, LOS ANGELES, CA 90045-5631
(310) 206-2429
(310) 206-1120
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
4301084844
MI
2086S0120X
Pediatric Surgery Physician
A70300
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A703000
—
CA
Enumeration date
04/17/2007
Last updated
03/08/2011
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