Organization
DEACON MEDICAL CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEACON EMMET FARRELL (PRESIDENT)
(347) 379-0135
Entity
Organization
Contact information
Practice address
1826 1/2 CANYON DR, LOS ANGELES, CA 90028-5608
(347) 379-0135
Mailing address
1826 1/2 CANYON DR, LOS ANGELES, CA 90028-5608
(034) 737-9013
Taxonomy
Speciality
Code
Description
License number
State
208VP0000X
Pain Medicine Physician
Primary
—
—
Other
Enumeration date
04/28/2023
Last updated
04/28/2023
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