Individual
JOHN DERMOT FITZGERALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
200 MEDICAL PLAZA, #214,365,530,420,120, LOS ANGELES, CA 90095-3075
(310) 825-2448
Mailing address
5767 W CENTURY BLVD, SUITE 200, LOS ANGELES, CA 90045-5632
(310) 825-7172
(310) 394-7807
Taxonomy
Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
G80802
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G808020
—
CA
Enumeration date
07/12/2006
Last updated
06/14/2010
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