Derby, Richard

Derby, Richard is an individual health care provider with primary practice located at 901 Campus Drive Suite 312, Daly City CA 94015. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pain Medicine, which is considered as his primary health care specialty. Derby, Richard can be contacted via phone (650) 755-0733.

Contact Information

Primary practice address
901 Campus Drive Suite 312 Daly City CA 94015
Phone: (650) 755-0733
Fax: (650) 755-3018
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pain Medicine 207LP2900X G24348 California

Profile Details

NPI number 1013008481
LBN Legal business name Derby, Richard
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 28th, 2006
Last updated Nov 18th, 2010 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1013008481 NPPES
Other G24348 CALIF BOARD

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