Derrick Cisneros
Derrick Cisneros is a Rehabilitation Practitioner in Van Nuys, California. Licensed in California. Registered with an NPI since 2021.
- Licensed in
- CA
- In the registry since
- 2021
Practice location Address checks out
14600 Sherman Way Ste 100DVan Nuys, CA 91405-5869
Phone: (818) 374-6901
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Rehabilitation Practitioner (primary) | Taxonomy 225400000X (CA) |
|---|
Record details
| NPI number | 1821755034 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | November 22, 2021 |
| Last updated in NPPES | November 22, 2021 |
| Certification date | November 22, 2021 |
| Mailing address | 14600 Sherman Way Ste 100d, Van Nuys, CA 91405-5869 |
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