Moriyama, Derek Susumu
Moriyama, Derek Susumu is an individual health care provider with primary practice located at 1520 San Pablo St Ste 1000 , Los Angeles CA 90033-5312. He recently has only one registered license in Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine, which is considered as his primary health care specialty. Moriyama, Derek Susumu can be contacted via phone (323) 442-5100.Contact Information
Primary practice address
1520 San Pablo St Ste 1000
Los Angeles CA 90033-5312
Phone: (323) 442-5100
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine | 207RH0002X | A168883 | California |
Profile Details
| NPI number | 1851747901 |
|---|---|
| LBN Legal business name | Moriyama, Derek Susumu |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 8th, 2016 |
| Last updated | Nov 27th, 2023 - about last year |
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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