Derrick Tint Md, Corporation
LBN: Derrick Tint Md, Corporation
Derrick Tint Md, Corporation is an health care organization with primary practice located at 341 Magnolia Ave Ste 206 , Corona CA 92879-3332. The organization recently has only one registered license in Ambulatory Health Care Facilities / Medical Specialty, which is considered as the primary health care specialty.
Derrick Tint Md, Corporation can be contacted via phone (951) 735-0470, or through Tint, Derrick via phone (949) 246-3072.
Contact Information
Primary practice address
341 Magnolia Ave Ste 206
Corona CA 92879-3332
Phone: (951) 735-0470
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Ambulatory Health Care Facilities / Medical Specialty | 261QM2500X |
Profile Details
| NPI number | 1659969590 |
|---|---|
| LBN Legal business name | Derrick Tint Md, Corporation |
| DBA Doing business as | |
| Authorized official | Tint, Derrick Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jan 6th, 2021 |
| Last updated | Mar 7th, 2023 - about last year |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1659969590 | NPPES |
| California | Other | A160407 | MEDICAL LICENSE |
| California | Other | 1033554423 | MEDICAL LICENSE |
| California | Other | MD463754 | MEDICAL LICENSE |
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