Su, Derrick Weison

Su, Derrick Weison is an individual health care provider with primary practice located at 11180 Warner Ave Ste 351 , Fountain Valley CA 92708-7516. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Su, Derrick Weison can be contacted via phone (714) 698-0300.

Contact Information

Primary practice address
11180 Warner Ave Ste 351 Fountain Valley CA 92708-7516
Phone: (714) 698-0300
Fax: (714) 698-0313
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X A125217 California

Profile Details

NPI number 1740569789
LBN Legal business name Su, Derrick Weison
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 9th, 2011
Last updated May 15th, 2019 - about 7 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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