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Individual

DEANA BERLIOZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
CRNA

Contact information

Practice address
8700 BEVERLY BLVD, WEST HOLLYWOOD, CA 90048-1804
(310) 423-1447
(310) 423-0387
Mailing address
4140 W 190TH ST, TORRANCE, CA 90504-5513
(310) 423-1447
(310) 423-0387

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
265241
OH
367500000X
Certified Registered Nurse Anesthetist
Primary
95001655
CA
367500000X
Certified Registered Nurse Anesthetist
COA.07963.NA
OH
367500000X
Certified Registered Nurse Anesthetist
RN265241 NA-07963
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200508110
IN
05
2533771
OH
05
7100040880
OH
Enumeration date
07/13/2005
Last updated
05/11/2022
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