Search › California › 1041C0700X
Eric Dereza, L.C.S.W
NPI 1255671327 · on the registry since 2013
Practice
- Address
- 550 S Vermont Ave Fl 10
Los Angeles, CA 90020 - Phone
- (213) 760-1317
- Fax
- (213) 996-1338
- Organisation at this address
- Genesis
Department Of Mental Health
Department Of Mental Health
Department Of Mental Health
La County Department Of Mental HealthInferred from a shared address, not stated in the registry. - Clinicians at this address
- 377
Additional practice sites
- 150 W 7th St, San Pedro, CA
Registry record
- Primary taxonomy
- 1041C0700X
1041C0700X
- Also registered as
- 101YM0800X
225400000X
390200000X - Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2019-11-05
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California