Derby, Richard
Derby, Richard is an individual health care provider with primary practice located at 901 Campus Drive Suite 312, Daly City CA 94015. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pain Medicine, which is considered as his primary health care specialty. Derby, Richard can be contacted via phone (650) 755-0733.Contact Information
Primary practice address
901 Campus Drive Suite 312
Daly City CA 94015
Phone: (650) 755-0733
Fax: (650) 755-3018
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pain Medicine | 207LP2900X | G24348 | California |
Profile Details
| NPI number | 1013008481 |
|---|---|
| LBN Legal business name | Derby, Richard |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 28th, 2006 |
| Last updated | Nov 18th, 2010 - about 16 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 | 1013008481 | NPPES |
| Other | G24348 | CALIF BOARD |
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