Deanda, Michael

Deanda, Michael is an individual health care provider with primary practice located at 2333 Foothill Blvd Ste B , La Verne CA 91750-3027. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Deanda, Michael can be contacted via phone (909) 392-6501.

Contact Information

Primary practice address
2333 Foothill Blvd Ste B La Verne CA 91750-3027
Phone: (909) 392-6501
Fax: (909) 469-2137
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X A70940 California

Profile Details

NPI number 1750381711
LBN Legal business name Deanda, Michael
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 29th, 2005
Last updated Jul 14th, 2022 - about 2 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1750381711 NPPES
California Other A70940 MEDICAL LICENSE
California MEDICAID 1750381711 MEDICAL LICENSE

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