Derderian, Hrak

Derderian, Hrak is an sole proprietor health care provider with primary practice located at 6838 Newcastle Ave , Reseda CA 91335-4616. He recently has 2 registered licenses in different health care specialties including Emergency Medical Service Providers / Personal Emergency Response Attendant, Allopathic & Osteopathic Physicians / Emergency Medicine. Allopathic & Osteopathic Physicians / Emergency Medicine is his primary health care specialty. Derderian, Hrak can be contacted via phone (818) 605-1349.

Contact Information

Primary practice address
6838 Newcastle Ave Reseda CA 91335-4616
Phone: (818) 605-1349
Fax: (818) 605-1349
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Emergency Medical Service Providers / Personal Emergency Response Attendant 146D00000X A92365 California
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X A92365 California

Profile Details

NPI number 1619034725
LBN Legal business name Derderian, Hrak
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 2nd, 2007
Last updated Feb 18th, 2013 - about 11 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 1619034725 NPPES
California MEDICAID 00A923650
California Other A92365

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