| Doctor Name: | MR. DHEERAJ LAL |
| NPI Number: | 1053414607 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MD |
| License Number: | A25942 |
| Business Practice Address: | 1500 E Duarte Rd Duarte, CA - 91010 |
| Business Phone Number: | 6263598111 |
| Business Fax Number: | |
| Mailing Address: | 1333 S Mayflower Ave 2, MONROVIA |
| State: | CA |
| Postal Code: | 910164066 |
| Phone Number: | 6267753514 |
| Fax Number: | 6264083911 |
| NPI Enumeration Date: | 09/07/2006 |
| NPI Last Update Date: | 08/13/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 207RA0401X |
| License Number: | A25942 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | CA |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Internal Medicine |
| Taxonomy Specialization: | Addiction Medicine |
| Taxonomy Definition: | An internist doctor of osteopathy that specializes in the treatment of addiction disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine can obtain a Certificate of Added Qualifications in the field of Addiction Medicine. |