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Individual

CATHERINE MARIN DEUGARTE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
10921 WILSHIRE BLVD, STE 702, LOS ANGELES, CA 90024-3906
(310) 873-1800
Mailing address
10921 WILSHIRE BLVD, STE 702, LOS ANGELES, CA 90024-3906
(310) 873-1800

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
4301084843
MI
207VE0102X
Reproductive Endocrinology Physician
Primary
4301084843
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
477697210
MI
01
700H262210
BLUE CROSS-BLUE CROSS
01
CD084843
CHAMPUS-CHAMPUS
Enumeration date
11/29/2006
Last updated
07/31/2015
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