Provider Demographics
NPI:1790044998
Name:PEROTTI, DEENA HELEN (MD)
Entity Type:Individual
Prefix:DR
First Name:DEENA
Middle Name:HELEN
Last Name:PEROTTI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:DEENA
Other - Middle Name:
Other - Last Name:YOUSEF
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:238 1/2 N LA PEER DR
Mailing Address - Street 2:
Mailing Address - City:BEVERLY HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:90211-1612
Mailing Address - Country:US
Mailing Address - Phone:559-360-1022
Mailing Address - Fax:
Practice Address - Street 1:8700 BEVERLY BLVD
Practice Address - Street 2:#4209
Practice Address - City:WEST HOLLYWOOD
Practice Address - State:CA
Practice Address - Zip Code:90048
Practice Address - Country:US
Practice Address - Phone:310-423-1682
Practice Address - Fax:310-423-4119
Is Sole Proprietor?:Yes
Enumeration Date:2012-05-08
Last Update Date:2018-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA390200000X
CAA128271207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program