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
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #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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