Phan, Derek Q
Phan, Derek Q is an sole proprietor health care provider with primary practice located at 21634 Retreat Pkwy , Temescal Valley CA 92883-6100. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Interventional Cardiology. Allopathic & Osteopathic Physicians / Cardiovascular Disease is his primary health care specialty. Phan, Derek Q can be contacted via phone (951) 493-6650.Contact Information
Primary practice address
21634 Retreat Pkwy
Temescal Valley CA 92883-6100
Phone: (951) 493-6650
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | MD61123756 | Washington |
Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | 0447579 | Kansas |
Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | A138554 | California |
Allopathic & Osteopathic Physicians / Interventional Cardiology | 207RI0011X | 100522 | Wisconsin |
Allopathic & Osteopathic Physicians / Interventional Cardiology | 207RI0011X | MD61123756 | Washington |
Allopathic & Osteopathic Physicians / Interventional Cardiology | 207RI0011X | 0447579 | Kansas |
Allopathic & Osteopathic Physicians / Interventional Cardiology | 207RI0011X | A138554 | California |
Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | 100522 | Wisconsin |
Profile Details
NPI number | 1598184244 |
---|---|
LBN Legal business name | Phan, Derek Q |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Apr 9th, 2014 |
Last updated | Jul 31st, 2023 - about last year |
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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