Fitzgerald, John Dermot
Fitzgerald, John Dermot is an individual health care provider with primary practice located at 200 Medical Plaza #214,365,530,420,120, Los Angeles CA 90095-3075. He recently has only one registered license in Allopathic & Osteopathic Physicians / Rheumatology, which is considered as his primary health care specialty. Fitzgerald, John Dermot can be contacted via phone (310) 825-2448.Contact Information
Primary practice address
200 Medical Plaza #214,365,530,420,120
Los Angeles CA 90095-3075
Phone: (310) 825-2448
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Rheumatology | 207RR0500X | G80802 | California |
Profile Details
| NPI number | 1841215027 |
|---|---|
| LBN Legal business name | Fitzgerald, John Dermot |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 12th, 2006 |
| Last updated | Jun 14th, 2010 - about 15 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 | 1841215027 | NPPES |
| California | MEDICAID | 00G808020 |
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