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DR. GERE STODDER DIZEREGA MD NPI 1114278843


NPI Information

NPI: 1114278843
Provider Name: DR. GERE STODDER DIZEREGA, MD
Classification: Obstetrics & Gynecology - 207V00000X
Entity Type: Individual
Address:
1321 N MISSION RD
LOS ANGELES, CA
ZIP 90033
Phone: (323) 226-4965
Get Directions

DR. Gere Stodder Dizerega, MD is an obstetrics gynecology in Los Angeles, CA. The provider is an obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. DR. Gere Stodder Dizerega, MD NPI is 1114278843. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1321 N MISSION RD
LOS ANGELES, CA
ZIP 90033-020
Phone: (323) 226-4965

The enumeration date for this NPI number is 9/20/2012 and was last updated on 10/15/2012.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207V00000XObstetrics & GynecologyG30161CALIFORNIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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