DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. MARY JENNIFER DEREBERY

Active

DR. MARY JENNIFER DEREBERY is a Otology & Neurotology healthcare provider located in LOS ANGELES, California. NPI 1457440992 is currently active in the NPPES registry. Verify at CMS.

Otology & Neurotology · LOS ANGELES, CA

Registration Details

NPI Number
1457440992
Provider Type
Individual
Gender
Female
NPI Issued
Oct 12, 2006 (19.873234747919 yrs)
Last Updated
Aug 15, 2013
License
C42073 (CA)

Practice Information

Address
2100 W 3RD ST
SUITE 111
LOS ANGELES, CA, 900571944
Browse CA providers · Browse ZIP 90057
Phone
2134839930
Fax
2134830905
Primary Specialty
Otology & Neurotology
207YX0602X

Other Otology & Neurotology Providers in LOS ANGELES, CA

Name Credential NPI
AKIRA ISHIYAMA MD 1932125044
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.