Individual provider · Type 1 NPI

David Deranian

Addiction (Substance Use Disorder) Counselor · San Pedro, CA

NPI number 1033014360 Active

Practice location

856 W 19th St
San Pedro, CA 90731-5314

Call (310) 519-8723 Map

Mailing address

376 W 15th St
San Pedro, CA 90731-4806

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XRT1460180926 (CA)

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1033014360

David Deranian's National Provider Identifier is 1033014360, issued on Oct 8, 2026. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in San Pedro, CA. The record was last updated on Oct 8, 2026.