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Danielle Derosa
NPI 1538582614 · on the registry since 2014 · sole proprietor
Practice
- Address
- 32420 Pacific Coast Hwy
Malibu, CA 90265 - Phone
- (310) 955-6111
- Organisation at this address
- Avalon By The Sea, Inc
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 324500000X
324500000X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2014-01-27
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