Healthcare Provider Details

I. General information

NPI: 1073731766
Provider Name (Legal Business Name): DAVID PAUL DEUTSCH M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/20/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9100 WILSHIRE BLVD EAST TOWER PENTHOUSE
BEVERLY HILLS CA
90212-3401
US

IV. Provider business mailing address

6222 TOBRUK CT
LONG BEACH CA
90803-4859
US

V. Phone/Fax

Practice location:
  • Phone: 310-288-9999
  • Fax:
Mailing address:
  • Phone: 562-498-7981
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208600000X
TaxonomySurgery Physician
License NumberG83289
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: