Provider Demographics
NPI:1457390346
Name:DEUTSCH, JAMES (MD)
Entity Type:Individual
Prefix:
First Name:JAMES
Middle Name:
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 1:2382 CRENSHAW BLVD
Mailing Address - Street 2:STE 5
Mailing Address - City:TORRANCE
Mailing Address - State:CA
Mailing Address - Zip Code:90501-3333
Mailing Address - Country:US
Mailing Address - Phone:310-618-9200
Mailing Address - Fax:310-618-1241
Practice Address - Street 1:2382 CRENSHAW BLVD
Practice Address - Street 2:STE 5
Practice Address - City:TORRANCE
Practice Address - State:CA
Practice Address - Zip Code:90501-3333
Practice Address - Country:US
Practice Address - Phone:310-618-9200
Practice Address - Fax:310-618-1241
Is Sole Proprietor?:No
Enumeration Date:2006-06-06
Last Update Date:2021-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA26008207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00A260080Medicaid
CA00A260080Medicaid
A24672Medicare UPIN