Deridder, Paul

Deridder, Paul is an sole proprietor health care provider with primary practice located at 4108 River Ave , Newport Beach CA 92663-2915. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Deridder, Paul can be contacted via phone (714) 345-5887.

Contact Information

Primary practice address
4108 River Ave Newport Beach CA 92663-2915
Phone: (714) 345-5887
Fax: (949) 548-1994
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Urology 208800000X G33885 California

Profile Details

NPI number 1871877134
LBN Legal business name Deridder, Paul
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 5th, 2011
Last updated Oct 5th, 2011 - about 15 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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