Estifanos, Derrick
Estifanos, Derrick is an individual health care provider with primary practice located at 6800 Owensmouth Ave Ste 160 , Canoga Park CA 91303-4255. He recently has only one registered license in Other Service Providers / Community Health Worker, which is considered as his primary health care specialty. Estifanos, Derrick can be contacted via phone (818) 647-2653.Contact Information
Primary practice address
6800 Owensmouth Ave Ste 160
Canoga Park CA 91303-4255
Phone: (818) 647-2653
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Other Service Providers / Community Health Worker | 172V00000X |
Profile Details
NPI number | 1063968097 |
---|---|
LBN Legal business name | Estifanos, Derrick |
Credentials | |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Aug 30th, 2016 |
Last updated | Dec 1st, 2023 - about last year |
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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