Derose, Robin

Derose, Robin is an individual health care provider with primary practice located at 7120 Hayvenhurst Ave Ste 215 , Van Nuys CA 91406-3813. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Hand, which is considered as her primary health care specialty. Derose, Robin can be contacted via phone (818) 785-9515.

Contact Information

Primary practice address
7120 Hayvenhurst Ave Ste 215 Van Nuys CA 91406-3813
Phone: (818) 785-9515
Fax: (818) 785-9535
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Hand 225XH1200X OT950 California

Profile Details

NPI number 1851414767
LBN Legal business name Derose, Robin
Credentials OTR,CHT,CVE
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 6th, 2007
Last updated Jun 11th, 2013 - about 12 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 1851414767 NPPES
California Other 954370043 TAX ID #

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