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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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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