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

Dr. Thierry Dervieux, PHDDABCC

Individual provider Medical Laboratory Technician · NPI 1649622051

Dr. Thierry Dervieux, PHDDABCC is a Medical Laboratory Technician in Vista, California. Licensed in New York. Registered with an NPI since 2016.

Licensed in
NY
In the registry since
2016

Practice location Address checks out

1261 Liberty Way
Vista, CA 92081-8356
Phone: (858) 784-1673
Show map & directions

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

Specialties & licences

Medical Laboratory Technician (primary) Taxonomy 246RM2200X · Licence DERVT1 (NY)

Record details

NPI number1649622051
Entity typeIndividual (Type 1)
GenderMale
Credentials PHDDABCC
Sole proprietorNo
NPI enumeratedJuly 9, 2016
Last updated in NPPESJuly 9, 2016

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