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

Derrick J Dizon

Individual provider Physical Therapist · NPI 1902654544

Derrick J Dizon is a Physical Therapist in Los Angeles, California. Licensed in California. Registered with an NPI since 2024.

Licensed in
CA
In the registry since
2024

Practice location Address checks out

619 N Fairfax Ave
Los Angeles, CA 90036-1714
Phone: (323) 651-0043
Show map & directions

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

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 305377 (CA)

Record details

NPI number1902654544
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMay 8, 2024
Last updated in NPPESMay 8, 2024
Certification dateMay 8, 2024

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