Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Mary Jennifer Derebery

Individual provider Otolaryngic Allergy Physician · NPI 1457440992

Dr. Mary Jennifer Derebery is an Otolaryngic Allergy Physician in Los Angeles, California. Licensed in California. Registered with an NPI since 2006.

Licensed in
CA
In the registry since
2006

Practice location Address checks out

2100 W 3rd St Ste 111
Los Angeles, CA 90057-1944
Phone: (213) 483-9930
Fax: (213) 483-0905
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Otolaryngic Allergy Physician (primary) Taxonomy 207YX0602X · Licence C42073 (CA)

Record details

NPI number1457440992
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedOctober 12, 2006
Last updated in NPPESAugust 15, 2013

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