MARVIN DEREZIN MD
NPI 1881610905
Internal Medicine - Gastroenterology in Los Angeles, CA

Active since July 14, 2006
200 MEDICAL PLAZA, #365, LOS ANGELES, CA 90095(310) 794-1700 Get Directions Write a Review

NPPES record last updated: March 11, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Marvin Derezin Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARVIN DEREZIN MD (NPI 1881610905) is an individual gastroenterology provider in Los Angeles, California, licensed in California (G11139) and active in the NPI registry since July 2006.

NPPES Registry Identity

NPI1881610905
Entity TypeIndividualMale
Primary Taxonomy207RG0100X
Provider Legal NameMARVIN DEREZINCredential: MD
Location Address200 MEDICAL PLAZA, #365Los Angeles, CA 90095-3075
Mailing Address5767 W Century Blvd, Suite 200Los Angeles, CA 90045-5632 · (310) 794-1700
Sole ProprietorNo
Enumeration DateJuly 14, 2006
Last NPPES UpdateMarch 11, 2013
NPI 1881610905 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
License Licensed in CA · G11139
Definition
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
200 MEDICAL PLAZA, Los Angeles, CA 90095

Other Identifiers 5

Medicare UPINA38239CA
Medicare PINWG11139CCA
Medicaid00G111390CA
Medicare PINWG11139BCA
Medicare PINWG11139ACA

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Internal Medicine (Nephrology)
200 MEDICAL PLAZA, #365,420,120,530
LOS ANGELES, CA 90095
Internal Medicine
200 MEDICAL PLAZA, #365,530,420,120
LOS ANGELES, CA 90095
Internal Medicine
200 MEDICAL PLAZA, #214,365,530,420,120
LOS ANGELES, CA 90095
Plastic Surgery
200 MEDICAL PLAZA, #465
LOS ANGELES, CA 90095
Internal Medicine (Rheumatology)
200 MEDICAL PLAZA, #365,530,420,120
LOS ANGELES, CA 90095
Otolaryngology
200 MEDICAL PLAZA, #550
LOS ANGELES, CA 90095
Internal Medicine (Nephrology)
200 MEDICAL PLAZA, #365,530,420,120
LOS ANGELES, CA 90095
Internal Medicine (Allergy & Immunology)
200 MEDICAL PLAZA, #365,530,420,120
LOS ANGELES, CA 90095

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Marvin Derezin's NPI number?

The NPI number for Marvin Derezin is 1881610905. It was assigned to this individual provider in the NPPES registry on July 14, 2006.

Where is Marvin Derezin located?

Marvin Derezin practices at 200 Medical Plaza #365, Los Angeles, CA 90095. The listed phone number is (310) 794-1700.

What is Marvin Derezin's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

When was this NPI record last updated?

The NPPES record for Marvin Derezin was last updated on March 11, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.