Physician Compare National (NPI:1104997683)

HEALTHCARE PROVIDER: VERRETTA DEOROSAN M.D.

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1104997683
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	0648340935
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20080529000242
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	DEOROSAN
	Individual professional last name
Provider First Name	VERETTA
	Individual professional first name
Provider Gender	F
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	UNIVERSITY OF CALIFORNIA, GEFFEN SCHOOL OF MEDICINE
	Individual professional's medical school
Primary Specialty	INTERNAL MEDICINE
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	5230 PACIFIC CONCOURSE DR
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 110
	Group Practice or individual's line 2 address
City	LOS ANGELES
	Group Practice or individual's city
State	CA
	Group Practice or individual's state
Zip Code	900456258
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Professional Accepts Medicare Assignment	M