Dery, Gabriel

Dery, Gabriel is an sole proprietor health care provider with primary practice located at 28521 Paseo Diana , San Juan Capistrano CA 92675-2905. He recently has only one registered license in Eye and Vision Services Providers / Corneal and Contact Management, which is considered as his primary health care specialty. Dery, Gabriel can be contacted via phone (949) 275-7539.

Contact Information

Primary practice address
28521 Paseo Diana San Juan Capistrano CA 92675-2905
Phone: (949) 275-7539
Fax: (949) 496-2034
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Corneal and Contact Management 152WC0802X 5841T California

Profile Details

NPI number 1730113291
LBN Legal business name Dery, Gabriel
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 10th, 2006
Last updated Jul 8th, 2007 - about 17 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1730113291 NPPES
California MEDICAID T006

Popular Providers