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DEANRO A PROFESSIONAL MEDICAL CORPORATION NPI 1700061553


NPI Information

NPI: 1700061553
Provider Name: DEANRO A PROFESSIONAL MEDICAL CORPORATION
Classification: Surgery - 2086X0206X
Entity Type: Organization

Specialization: Surgical Oncology

Address:
2121 SANTA MONICA BLVD
SANTA MONICA, CA
ZIP 90404
Phone: (310) 449-5206
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DEANRO A PROFESSIONAL MEDICAL CORPORATION is a surgical oncology surgery in Santa Monica, CA. The provider is a surgical oncologist is a well-qualified surgeon who has obtained additional training and experience in the multidisciplinary approach to the prevention, diagnosis, treatment, and rehabilitation of cancer patients, and devotes a major portion of his or her professional practice to these activities and cancer research. DEANRO A PROFESSIONAL MEDICAL CORPORATION NPI is 1700061553. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2121 SANTA MONICA BLVD
SANTA MONICA, CA
ZIP 90404-303
Phone: (310) 449-5206
Fax: (310) 449-5242

The provider's authorized official is Anton Bilchik .
The authorized official title is Owner and has the following contact phone number (310) 449-5206.

The enumeration date for this NPI number is 12/28/2007 and was last updated on 1/26/2018.


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
12086X0206XSurgerySurgical OncologyA49766CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1=========OTHERCALIFORNIABLUE CROSS

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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