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Individual

DR. THEODORE DE BERITTO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
200 UCLA MEDICAL PLZ STE 265, LOS ANGELES, CA 90095-8344
(310) 825-0867
(310) 794-5066
Mailing address
5767 W CENTURY BLVD STE 400, LOS ANGELES, CA 90045-5631
(310) 301-8707
(310) 301-8751

Taxonomy

Speciality
Code
Description
License number
State
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
A150192
CA

Other

Enumeration date
06/24/2014
Last updated
11/19/2020
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