Deorosan Professional Medical Corporation

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

G73639 Issued in CA

Legal business name

DEOROSAN PROFESSIONAL MEDICAL CORPORATION

Practice address

11502 S Vermont Ave
Los Angeles, CA 90044-6522

Phone

(323) 779-2800

Fax

(323) 754-4014

NPI assigned

Dec 18, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Verretta Deorosan, MDNPI 1104997683

Title

President/Owner

Phone

(323) 779-2800

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Verretta Deorosan, M.D.

  • Internal Medicine Physician
  • Los Angeles, CA
  • NPI 1104997683
  Medicare reassignment NPD Authorized official
• Lance William Chapman, M.D., MBA

  • MOHS-Micrographic Surgery Physician
  • Los Angeles, CA
  • NPI 1194143438
  NPD (past)
• Dwight Wayne Malone, M.D.

  • Family Medicine Physician
  • Torrance, CA
  • NPI 1093886269
  NPD (past)
• Monique Antoinette Willis, PA-C

  • Physician Assistant
  • Westchester, CA
  • NPI 1023202744
  NPD (past)
• Bhagirath H Katbamna, M.D.

  • Gastroenterology Physician
  • Hannibal, MO
  • NPI 1447239041
  NPD (past)
• Girish Chintamani Mohan, M.D.

  • Dermatology Physician
  • Tulsa, OK
  • NPI 1093193161
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1197936000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1197936000000",
    "number": "1497939177",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11502 S VERMONT AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900446522",
            "telephone_number": "323-779-2800",
            "fax_number": "323-754-4014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11502 S VERMONT AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900446522",
            "telephone_number": "323-779-2800",
            "fax_number": "323-754-4014"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEOROSAN PROFESSIONAL MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-18",
        "last_updated": "2007-12-18",
        "status": "A",
        "authorized_official_last_name": "DEOROSAN",
        "authorized_official_first_name": "VERRETTA",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "323-779-2800",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "G73639",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dentulu Inc.
• Ajita Deodhar, M.D
• L'Aurelle Deogratias, MSN, APNP, PMHNP-BC
• Tapinder Kaur Deol, DDS
• Pamela Law Deomampo, M.D.
• Verretta Deorosan, M.D.
• Tyler Depalma-Shields
• Department of Health Services
• Department of Mental Health
• Department of Mental Health

• Internal Medicine Physician in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.