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

Individual provider Case Manager/Care Coordinator · NPI 1023640216

Ennio Roque Deras is a Case Manager/Care Coordinator in Los Angeles, California. Registered with an NPI since 2020.

In the registry since
2020
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Practice location Address checks out

2121 W Temple St
Los Angeles, CA 90026-4915
Phone: (213) 385-5100
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Case Manager/Care Coordinator (primary) Taxonomy 171M00000X

Record details

NPI number1023640216
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedFebruary 6, 2020
Last updated in NPPESFebruary 6, 2020
Certification dateFebruary 6, 2020

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