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:
Health care specialties
Specialty | Code | License # | 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 11 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 | 1851414767 | NPPES |
California | Other | 954370043 | TAX ID # |
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