Provider Demographics
NPI:1326102112
Name:DEUTSCH, HARVEY LUDOVIC (MD)
Entity Type:Individual
Prefix:DR
First Name:HARVEY
Middle Name:LUDOVIC
Last Name:DEUTSCH
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2021 SANTA MONICA BLVD STE 320E
Mailing Address - Street 2:
Mailing Address - City:SANTA MONICA
Mailing Address - State:CA
Mailing Address - Zip Code:90404-2150
Mailing Address - Country:US
Mailing Address - Phone:310-829-3404
Mailing Address - Fax:310-829-2266
Practice Address - Street 1:2021 SANTA MONICA BLVD STE 320E
Practice Address - Street 2:
Practice Address - City:SANTA MONICA
Practice Address - State:CA
Practice Address - Zip Code:90404-2150
Practice Address - Country:US
Practice Address - Phone:310-829-3404
Practice Address - Fax:310-829-2266
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-19
Last Update Date:2020-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG46608208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery