Derrick Estifanos
Derrick Estifanos is a Rehabilitation Practitioner in Canoga Park, California. Registered with an NPI since 2016.
- In the registry since
- 2016
Practice location Address checks out
6800 Owensmouth Ave Ste 160Canoga Park, CA 91303-4255
Phone: (818) 647-2653
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Specialties & licences
| Rehabilitation Practitioner (primary) | Taxonomy 225400000X |
|---|
Record details
| NPI number | 1063968097 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | August 30, 2016 |
| Last updated in NPPES | May 5, 2025 |
| Certification date | May 5, 2025 |
| Mailing address | 6800 Owensmouth Ave Ste 160, Canoga Park, CA 91303-4255 |
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