Nguyen, Derek

Nguyen, Derek is an sole proprietor health care provider with primary practice located at 4435 Brockton Ave Ste B , Riverside CA 92501-4004. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Dermatology, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Nguyen, Derek can be contacted via phone (951) 683-6830.

Contact Information

Primary practice address
4435 Brockton Ave Ste B Riverside CA 92501-4004
Phone: (951) 683-6830
Fax: (951) 228-9458
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X A87744 California
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X A87744 California

Profile Details

NPI number 1528054095
LBN Legal business name Nguyen, Derek
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 21st, 2005
Last updated Sep 7th, 2022 - about 2 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 1528054095 NPPES
California MEDICAID 00A877440

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