MARY J. DEREBERY – NPI #1457440992
Otolaryngology

An otolaryngologist who specializes in the diagnosis and treatment of otolaryngic allergies and other allergic diseases.

MARY DEREBERY is an otolaryngologist located in LOS ANGELES, CA. NPPES has assigned the NPI number 1457440992 to MARY DEREBERY on October 12, 2006. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 207YX0602X from the Health Care Provider Taxonomy code set, which is classified as Otolaryngology, specializing in Otolaryngic Allergy

The NPI profile was previously updated about 13 years ago on Aug 15, 2013. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for MARY DEREBERY below.

NPI Profile for
MARY J. DEREBERY

NPI Number
1457440992
Enumeration Date

(more than 19 years ago)
Entity Type
Type-1  Individual (Female)
Legal Name
MARY J. DEREBERY
Primary location
2100 W 3RD ST
SUITE 111
LOS ANGELES, CA 90057-1944
Phone: (213) 483-9930 Fax: (213) 483-0905
Mailing address
Same as primary location
Sole Proprietor
No
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207YX0602X
- Otolaryngology / Otolaryngic Allergy (Primary)
CA C42073

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.