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:
Health care specialties
| Specialty | Code | License # | 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 12 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1881812402 | NPPES |
| California | Other | A69656 | STATE LICENSE |
| California | Other | 1043640063 | STATE LICENSE |
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