Dereza, Eric
Dereza, Eric is an individual health care provider with primary practice located at 550 S Vermont Ave Fl 10 , Los Angeles CA 90020-1912. He recently has 4 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Mental Health, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Rehabilitation Practitioner, Student, Health Care / Student in an Organized Health Care Education/Training Program. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Dereza, Eric can be contacted via phone (213) 760-1317.Contact Information
Primary practice address
550 S Vermont Ave Fl 10
Los Angeles CA 90020-1912
Phone: (213) 760-1317
Fax: (213) 996-1338
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 88623 | California |
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | ||
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Rehabilitation Practitioner | 225400000X | ||
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X |
Profile Details
| NPI number | 1255671327 |
|---|---|
| LBN Legal business name | Dereza, Eric |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 26th, 2013 |
| Last updated | Nov 5th, 2019 - about 6 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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