Derenoncourt, Frantz J

Derenoncourt, Frantz J is an individual health care provider with primary practice located at 655 Euclid Avenue Suite 405, National City CA 91950. He recently has only one registered license in Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery), which is considered as his primary health care specialty. Derenoncourt, Frantz J can be contacted via phone (619) 267-2910.

Contact Information

Primary practice address
655 Euclid Avenue Suite 405 National City CA 91950
Phone: (619) 267-2910
Fax: (619) 267-7786
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) 208G00000X G54662 California

Profile Details

NPI number 1194736884
LBN Legal business name Derenoncourt, Frantz J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 10th, 2006
Last updated Jul 8th, 2007 - about 18 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 1194736884 NPPES
California MEDICAID 00G546621

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