Phan, Derek Q

Phan, Derek Q is an sole proprietor health care provider with primary practice located at 21634 Retreat Pkwy , Temescal Valley CA 92883-6100. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Interventional Cardiology. Allopathic & Osteopathic Physicians / Cardiovascular Disease is his primary health care specialty. Phan, Derek Q can be contacted via phone (951) 493-6650.

Contact Information

Primary practice address
21634 Retreat Pkwy Temescal Valley CA 92883-6100
Phone: (951) 493-6650
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X MD61123756 Washington
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 0447579 Kansas
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X A138554 California
Allopathic & Osteopathic Physicians / Interventional Cardiology 207RI0011X 100522 Wisconsin
Allopathic & Osteopathic Physicians / Interventional Cardiology 207RI0011X MD61123756 Washington
Allopathic & Osteopathic Physicians / Interventional Cardiology 207RI0011X 0447579 Kansas
Allopathic & Osteopathic Physicians / Interventional Cardiology 207RI0011X A138554 California
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 100522 Wisconsin

Profile Details

NPI number 1598184244
LBN Legal business name Phan, Derek Q
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 9th, 2014
Last updated Jul 31st, 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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