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:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1528054095 | NPPES |
| California | MEDICAID | 00A877440 |
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