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

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1235931478

Dominique Derse is a Student in an Organized Health Care Education/Training Program in Harbor City, California. Registered with an NPI since 2025.

In the registry since
2025
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Practice location Address checks out

1403 Lomita Blvd Ste 200
Harbor City, CA 90710-2086
Phone: (310) 602-2550
Fax: (310) 326-7205
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1235931478
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMarch 26, 2025
Last updated in NPPESMarch 28, 2025
Certification dateMarch 28, 2025
Mailing address1403 Lomita Blvd Ste 102, Harbor City, CA 90710-2084

Other providers in Harbor City