Mongold, Derek S

Mongold, Derek S is an individual health care provider with primary practice located at 3400 Delta Fair Blvd , Antioch CA 94509-4004. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Psychiatry. Allopathic & Osteopathic Physicians / Psychiatry is his primary health care specialty. Mongold, Derek S can be contacted via phone (925) 777-6399.

Contact Information

Primary practice address
3400 Delta Fair Blvd Antioch CA 94509-4004
Phone: (925) 777-6399
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X A122589 California
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 22903 West Virginia
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 0101251845 Virginia
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 0101251845 Virginia
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 22903 West Virginia
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X A122589 California

Profile Details

NPI number 1700099264
LBN Legal business name Mongold, Derek S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 8th, 2007
Last updated Dec 15th, 2021 - about 3 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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