Damaso, Derrick Nicholas

Damaso, Derrick Nicholas is an sole proprietor health care provider with primary practice located at 6136 Lake Murray Blvd , La Mesa CA 91942-2502. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Physician Assistants & Advanced Practice Nursing Providers / Medical. Physician Assistants & Advanced Practice Nursing Providers / Medical is his primary health care specialty. Damaso, Derrick Nicholas can be contacted via phone (877) 693-6266.

Contact Information

Primary practice address
6136 Lake Murray Blvd La Mesa CA 91942-2502
Phone: (877) 693-6266
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X PA62170 California

Profile Details

NPI number 1598487035
LBN Legal business name Damaso, Derrick Nicholas
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 12th, 2022
Last updated Jan 24th, 2023 - 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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