Mccrae, Derek L

Mccrae, Derek L is an individual health care provider with primary practice located at 2880 Atlantic Ave Suite 170, Long Beach CA 90806-1714. He recently has only one registered license in Allopathic & Osteopathic Physicians / Adolescent Medicine, which is considered as his primary health care specialty. Mccrae, Derek L can be contacted via phone (562) 492-9900.

Contact Information

Primary practice address
2880 Atlantic Ave Suite 170 Long Beach CA 90806-1714
Phone: (562) 492-9900
Fax: (562) 492-9902
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Adolescent Medicine 2080A0000X A69656 California

Profile Details

NPI number 1881812402
LBN Legal business name Mccrae, Derek L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 20th, 2007
Last updated Dec 13th, 2013 - about 11 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1881812402 NPPES
California Other A69656 STATE LICENSE
California Other 1043640063 STATE LICENSE

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