Derek Q Phan MD Medical Corporation
Derek Q Phan MD Medical Corporation is a Cardiovascular Disease Physician in Corona, California. Registered with an NPI since 2023.
- In the registry since
- 2023
- Specialties on file
- 2
Practice location Address checks out
800 S Main StCorona, CA 92882-3420
Phone: (213) 569-1450
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Specialties & licences
| Interventional Cardiology Physician (primary) | Taxonomy 207RI0011X |
|---|---|
| Cardiovascular Disease Physician | Taxonomy 207RC0000X |
Record details
| NPI number | 1851075907 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Derek Phan — President · (951) 324-3157 |
| NPI enumerated | June 9, 2023 |
| Last updated in NPPES | June 9, 2023 |
| Certification date | June 9, 2023 |
| Mailing address | 10798 Jurupa Rd, Po Box 136, Jurupa Valley, CA 91752 |
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