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

Mr. Derrick Keith Rollins Jr.

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1073261988

Mr. Derrick Keith Rollins Jr. is a Student in an Organized Health Care Education/Training Program in Long Beach, California. Licensed in California. Registered with an NPI since 2022.

Licensed in
CA
In the registry since
2022
Specialties on file
2
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Practice location Address checks out

1955 Long Beach Blvd
Long Beach, CA 90806-5501
Phone: (562) 437-6717
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Case Manager/Care Coordinator (primary) Taxonomy 171M00000X
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X · Licence 390200000X (CA)

Record details

NPI number1073261988
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMarch 10, 2022
Last updated in NPPESJuly 18, 2022
Certification dateJuly 18, 2022

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