Van Doren, John Derrick
Van Doren, John Derrick is an individual health care provider with primary practice located at 39000 Bob Hope Dr , Rancho Mirage CA 92270-3221. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Addiction Medicine, Allopathic & Osteopathic Physicians / General Practice. Allopathic & Osteopathic Physicians / General Practice is his primary health care specialty. Van Doren, John Derrick can be contacted via phone (951) 375-7966.Contact Information
Primary practice address
39000 Bob Hope Dr
Rancho Mirage CA 92270-3221
Phone: (951) 375-7966
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Addiction Medicine | 207LA0401X | G60750 | California |
| Allopathic & Osteopathic Physicians / General Practice | 208D00000X | G60750 | California |
Profile Details
| NPI number | 1841844115 |
|---|---|
| LBN Legal business name | Van Doren, John Derrick |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 25th, 2019 |
| Last updated | Nov 9th, 2021 - about 5 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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