Derrick Tint Md, Corporation

LBN: Derrick Tint Md, Corporation
Derrick Tint Md, Corporation is an health care organization with primary practice located at 341 Magnolia Ave Ste 206 , Corona CA 92879-3332. The organization recently has only one registered license in Ambulatory Health Care Facilities / Medical Specialty, which is considered as the primary health care specialty. Derrick Tint Md, Corporation can be contacted via phone (951) 735-0470, or through Tint, Derrick via phone (949) 246-3072.

Contact Information

Primary practice address
341 Magnolia Ave Ste 206 Corona CA 92879-3332
Phone: (951) 735-0470
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Tint, Derrick Doctor of Medicine (MD)
Phone: (949) 246-3072

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Medical Specialty 261QM2500X

Profile Details

NPI number 1659969590
LBN Legal business name Derrick Tint Md, Corporation
DBA Doing business as
Authorized official Tint, Derrick Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 6th, 2021
Last updated Mar 7th, 2023 - about 3 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1659969590 NPPES
California Other A160407 MEDICAL LICENSE
California Other 1033554423 MEDICAL LICENSE
California Other MD463754 MEDICAL LICENSE

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