Deakers, Timothy William
Deakers, Timothy William is an individual health care provider with primary practice located at 4650 W Sunset Blvd Ms# 12, Los Angeles CA 90027-6062. He recently has only one registered license in Allopathic & Osteopathic Physicians / Critical Care Medicine, which is considered as his primary health care specialty. Deakers, Timothy William can be contacted via phone (323) 361-2557.Contact Information
Primary practice address
4650 W Sunset Blvd Ms# 12
Los Angeles CA 90027-6062
Phone: (323) 361-2557
Fax: (323) 361-0728
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Critical Care Medicine | 207RC0200X | G49229 | California |
Profile Details
| NPI number | 1275626509 |
|---|---|
| LBN Legal business name | Deakers, Timothy William |
| Credentials | MD, PHD |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 30th, 2006 |
| Last updated | May 14th, 2008 - about 17 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1275626509 | NPPES |
| California | Other | 00G492290 F90 | CAL OPTIMA |
| California | MEDICAID | 00G492290 | CAL OPTIMA |
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