Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Derrek Dean Hanson, IDC

Individual provider Independent Duty Corpsman · NPI 1073071593

Derrek Dean Hanson, IDC is an Independent Duty Corpsman in San Diego, California. Registered with an NPI since 2019.

In the registry since
2019

Practice location Address checks out

34101 Farenholt Ave Bldg 14
San Diego, CA 92134-7000
Phone: (619) 532-7968
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Independent Duty Corpsman (primary) Taxonomy 1710I1002X

Record details

NPI number1073071593
Entity typeIndividual (Type 1)
GenderMale
Credentials IDC
Sole proprietorNo
NPI enumeratedMarch 4, 2019
Last updated in NPPESMarch 4, 2019

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