Derderian, Trevor John
Derderian, Trevor John is an individual health care provider with primary practice located at 71780 San Jacinto Dr Bldg I , Rancho Mirage CA 92270-5516. He recently has only one registered license in Allopathic & Osteopathic Physicians / Vascular Surgery, which is considered as his primary health care specialty. Derderian, Trevor John can be contacted via phone (760) 568-3461.Contact Information
Primary practice address
71780 San Jacinto Dr Bldg I
Rancho Mirage CA 92270-5516
Phone: (760) 568-3461
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Vascular Surgery | 2086S0129X | 148584 | California |
Profile Details
| NPI number | 1124346697 |
|---|---|
| LBN Legal business name | Derderian, Trevor John |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 9th, 2010 |
| Last updated | Mar 3rd, 2020 - about 4 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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