Madayag, Derek John

Madayag, Derek John is an sole proprietor health care provider with primary practice located at 3853 Rosecrans St , San Diego CA 92110-3115. He recently has only one registered license in Nursing Service Providers / Psychiatric/Mental Health, Adult, which is considered as his primary health care specialty. Madayag, Derek John can be contacted via phone (619) 692-8232.

Contact Information

Primary practice address
3853 Rosecrans St San Diego CA 92110-3115
Phone: (619) 692-8232
Fax: (619) 542-4060
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Psychiatric/Mental Health, Adult 163WP0809X 95343156 California

Profile Details

NPI number 1083397442
LBN Legal business name Madayag, Derek John
Credentials Registered Nurse (RN)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 10th, 2023
Last updated Aug 10th, 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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