Derkum, Scott A
Derkum, Scott A is an individual health care provider with primary practice located at 16200 Sand Canyon Ave , Irvine CA 92618-3714. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Hospitalist is his primary health care specialty. Derkum, Scott A can be contacted via phone (949) 610-7245.Contact Information
Primary practice address
16200 Sand Canyon Ave
Irvine CA 92618-3714
Phone: (949) 610-7245
Fax: (657) 241-7720
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | C54344 | California |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | ME74898 | Florida |
| Allopathic & Osteopathic Physicians / Hospitalist | 208M00000X | C54344 | California |
Profile Details
| NPI number | 1588660849 |
|---|---|
| LBN Legal business name | Derkum, Scott A |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 22nd, 2005 |
| Last updated | May 30th, 2017 - about 9 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 | 1588660849 | NPPES |
| California | Other | P00939089 | MEDICARE RAILROAD |
| California | MEDICAID | 254121100 | MEDICARE RAILROAD |
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