Derian Boebel, Jacquelyn Marie

Derian Boebel, Jacquelyn Marie is an individual health care provider with primary practice located at 2331 20Th St Apt 3 , Santa Monica CA 90405-2737. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics, which is considered as her primary health care specialty. Derian Boebel, Jacquelyn Marie can be contacted via phone (858) 722-3627.

Contact Information

Primary practice address
2331 20Th St Apt 3 Santa Monica CA 90405-2737
Phone: (858) 722-3627
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics 225XP0200X OT12947 California

Profile Details

NPI number 1003307364
LBN Legal business name Derian Boebel, Jacquelyn Marie
Credentials OTR/L
Entity Individual
Sole proprietor 1 No
Enumeration date May 22nd, 2018
Last updated Feb 13th, 2021 - about 3 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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