1134269970 NPI number — MR. JOHN FRANCIS DERENSKI M.A.

Table of content: MR. JOHN FRANCIS DERENSKI M.A. (NPI 1134269970)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1134269970 NPI number — MR. JOHN FRANCIS DERENSKI M.A.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
DERENSKI
Provider First Name:
JOHN
Provider Middle Name:
FRANCIS
Provider Name Prefix Text:
MR.
Provider Name Suffix Text:
Provider Credential Text:
M.A.
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
DERENSKI
Provider Other First Name:
JOHN
Provider Other Middle Name:
Provider Other Name Prefix Text:
MR.
Provider Other Name Suffix Text:
Provider Other Credential Text:
M.A.
Provider Other Last Name Type Code:
2

NPI Number Information

NPI Number:
1134269970
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
07/08/2007
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
6345 BALBOA BLVD
Provider Second Line Business Mailing Address:
#212
Provider Business Mailing Address City Name:
ENCINO
Provider Business Mailing Address State Name:
CA
Provider Business Mailing Address Postal Code:
91316-1519
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
818-349-5965
Provider Business Mailing Address Fax Number:
818-776-0312

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
6345 BALBOA BLVD
Provider Second Line Business Practice Location Address:
#212
Provider Business Practice Location Address City Name:
ENCINO
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
91316-1519
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
818-349-5965
Provider Business Practice Location Address Fax Number:
818-776-0312
Provider Enumeration Date:
02/08/2007

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 106H00000X , with the licence number:  14575 , registered in the state of CA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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