Bakersfield Varicose Vein Center

LBN: Marvin J. Derrick
Bakersfield Varicose Vein Center is an health care organization with primary practice located at 3838 San Dimas St Ste A100, Bakersfield CA 93301-2284. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Vascular Surgery, which is considered as the primary health care specialty. Marvin J. Derrick can be contacted via phone (661) 377-8346, or through Derrick, Marvin J via phone (661) 377-8346.

Contact Information

Primary practice address
3838 San Dimas St Ste A100 Bakersfield CA 93301-2284
Phone: (661) 377-8346
Fax: (661) 327-0921
Website:
Map and Directions
Authorized official contact:
Name: Derrick, Marvin J Doctor of Medicine (MD)
Phone: (661) 377-8346

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Vascular Surgery 2086S0129X

Profile Details

NPI number 1679775951
LBN Legal business name Marvin J. Derrick
DBA Doing business as Bakersfield Varicose Vein Center
Authorized official Derrick, Marvin J Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date May 31st, 2007
Last updated Jun 12th, 2008 - about 17 years ago

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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1679775951 NPPES
California MEDICAID 00G478550

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