Derije, Joseph A

Derije, Joseph A is an sole proprietor health care provider with primary practice located at 9808 Venice Blvd Suite 700, Culver City CA 90232-2732. He recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Psychiatric/Mental Health, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is his primary health care specialty. Derije, Joseph A can be contacted via phone (310) 945-3350.

Contact Information

Primary practice address
9808 Venice Blvd Suite 700 Culver City CA 90232-2732
Phone: (310) 945-3350
Fax: (310) 840-7023
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Psychiatric/Mental Health 163WP0808X 743245 California
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 95005123 California

Profile Details

NPI number 1003107616
LBN Legal business name Derije, Joseph A
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 29th, 2011
Last updated Jun 20th, 2018 - about 6 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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