Judelson, Debra R
Judelson, Debra R is an individual health care provider with primary practice located at 414 N Camden Dr Ste 1100, Beverly Hills CA 90210-4532. She recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as her primary health care specialty. Judelson, Debra R can be contacted via phone (310) 278-3400.Contact Information
Primary practice address
414 N Camden Dr Ste 1100
Beverly Hills CA 90210-4532
Phone: (310) 278-3400
Fax: (310) 278-1240
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | G35161 | California |
Profile Details
| NPI number | 1790757136 |
|---|---|
| LBN Legal business name | Judelson, Debra R |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 1st, 2006 |
| Last updated | Dec 14th, 2009 - 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 | 1790757136 | NPPES |
| California | MEDICAID | 00G351610 |
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